ATI RN
Maternal Monitoring During Labor ppt Questions
Question 1 of 5
A pregnant patient who is 28 weeks gestation reports a sudden increase in vaginal discharge. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Assess the discharge for characteristics such as color, odor, and consistency. This is the priority action because sudden changes in vaginal discharge during pregnancy could indicate a potential infection or other complications that need to be promptly addressed. By assessing the characteristics of the discharge, the nurse can gather important information to determine the appropriate next steps, whether it requires immediate medical attention or can be managed with monitoring. Choice A is incorrect because simply using a sanitary pad and monitoring for changes does not address the underlying cause of the increased discharge. Choice C is incorrect as rest alone may not address the potential issue with the discharge. Choice D is also incorrect because while contacting the healthcare provider is important, assessing the discharge first provides crucial information for a more informed discussion with the provider.
Question 2 of 5
A nurse is caring for a pregnant patient who is at 36 weeks gestation and reports that her baby has not moved as much as usual. What should the nurse instruct the patient to do first?
Correct Answer: A
Rationale: The correct answer is A: Lie on her left side and drink a cold beverage to stimulate movement. This is because changing positions can encourage fetal movement due to the change in gravity and blood flow. Additionally, the cold beverage may stimulate the baby to move. Option B suggests resting without actively trying to stimulate movement, which may delay necessary action. Option C advises immediate contact with the healthcare provider, which could be an overreaction at this stage. Option D delays action and may not address the immediate concern of decreased fetal movement.
Question 3 of 5
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports feeling dizzy when standing. What should the nurse recommend to the patient?
Correct Answer: D
Rationale: The correct answer is D. When a pregnant patient feels dizzy, it can be due to postural hypotension. Rising slowly helps prevent a sudden drop in blood pressure. Standing for long periods can worsen symptoms. Option A is incorrect as standing up quickly can exacerbate dizziness. Option B is incorrect as cold beverages do not address the underlying issue. Option C is incorrect as lying flat on the back can decrease blood flow to the uterus.
Question 4 of 5
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
Correct Answer: D
Rationale: Step 1: The Safe to Sleep campaign aims to educate parents on safe sleep practices to reduce the risk of SIDS. Step 2: Given the patient's concerns about infant mortality and SIDS, providing education on safe sleep practices is pertinent. Step 3: The patient had an uncomplicated pregnancy and delivery, so other interventions like ECMO or surfactant are not relevant. Step 4: The Baby-Friendly Hospital Initiative focuses on promoting breastfeeding, which is not directly related to reducing the risk of SIDS. Step 5: Therefore, explaining the Safe to Sleep campaign to the patient is the most helpful in addressing her concerns and promoting infant safety.
Question 5 of 5
A pregnant patient at 30 weeks gestation reports swelling in her legs and feet. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Elevate the legs while sitting or lying down. This intervention helps reduce swelling by promoting venous return and reducing fluid accumulation in the lower extremities. Elevating the legs helps gravity assist in returning blood back to the heart, reducing edema. Increasing fluid intake (A) may worsen swelling. Lying flat on the back (B) can restrict blood flow and worsen swelling. Limiting physical activity (D) can lead to decreased circulation and exacerbate swelling.