ATI RN
Maternal Monitoring Questions
Question 1 of 5
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
Correct Answer: C
Rationale: In the context of maternal monitoring, the correct answer is C) RhoGAM if the patient is Rh-negative. Chorionic villus sampling (CVS) is a prenatal test that involves taking a small sample of cells from the placenta to check for genetic conditions. If a pregnant woman is Rh-negative and the fetus is Rh-positive, there is a risk of Rh incompatibility which can lead to hemolytic disease of the newborn. Administering RhoGAM to an Rh-negative mother can prevent her from developing antibodies against Rh-positive blood, thus protecting future pregnancies. Option A) Magnesium sulfate is commonly used to prevent seizures in preeclampsia or eclampsia, not routinely administered for CVS procedures. Option B) Prostaglandin suppository is not indicated for CVS. Prostaglandins are often used for cervical ripening or induction of labor. Option D) Betamethasone is a corticosteroid given to pregnant women at risk of preterm delivery to help accelerate fetal lung maturity. It is not typically administered in the context of CVS for genetic testing. Educationally, understanding the rationale behind administering RhoGAM in Rh-negative pregnant women undergoing procedures like CVS is essential for nurses and healthcare providers involved in maternal monitoring. It highlights the importance of preventing Rh incompatibility issues that can affect the health of both the current and future pregnancies. This knowledge ensures appropriate and timely interventions to promote maternal and fetal well-being.
Question 2 of 5
A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?
Correct Answer: C
Rationale: The correct answer is C) It is a bluish coloration of your cervix and vagina. Rationale: Chadwick's sign is a bluish discoloration of the cervix, vagina, and labia resulting from increased blood flow to these areas due to pregnancy. This sign is a classic indicator of pregnancy and is caused by increased vascularity in the pelvic area. It is an important physiological change that occurs in women during pregnancy and is typically observed around the sixth week of gestation. Option A is incorrect because a purplish stretch mark on the abdomen is referred to as striae gravidarum, not Chadwick's sign. Option B is incorrect as heart palpitations are not associated with Chadwick's sign. Option D is also incorrect as abnormal sounds heard during breathing are not related to Chadwick's sign. In an educational context, understanding these physiological changes during pregnancy is crucial for nurses caring for pregnant women. By recognizing and explaining Chadwick's sign, nurses can provide accurate information to their clients, reassure them about normal pregnancy changes, and promote overall maternal well-being.
Question 3 of 5
The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Fetal heart rate via Doppler. At 10 weeks of gestation, the fetal heart rate can typically be detected using Doppler ultrasound, confirming the presence of a viable pregnancy. This method provides concrete evidence of pregnancy progression and is a direct indicator of fetal well-being. Option B) Positive pregnancy test is a reliable indicator of pregnancy, but at 10 weeks gestation, it is not as definitive as detecting the fetal heart rate. Pregnancy tests can sometimes yield false positives or negatives, so they are not as accurate as direct visualization of the fetus. Option C) Positive Chadwick's sign and Option D) Montgomery gland enlargements are both physical changes in the body that can occur during pregnancy, but they are not specific or definitive enough at 10 weeks gestation to confirm pregnancy. These signs are more indicative of early pregnancy changes rather than definitive proof of pregnancy. Educationally, understanding the various methods of confirming pregnancy and monitoring maternal health is crucial for nurses working in maternal care. Knowing the appropriate timing and reliability of different assessments can help ensure accurate and timely care for pregnant clients. Detecting the fetal heart rate via Doppler is a critical skill for nurses in assessing the progress and well-being of both the mother and the fetus during pregnancy.
Question 4 of 5
The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) The nurse midwife felt the baby rebound after being pushed. Ballottement is a technique used in obstetrics to assess fetal movement. When the nurse midwife pushes on the mother's abdomen and then feels a rebound movement, this indicates that the fetus is floating in the amniotic fluid and can be pushed back and forth. This finding is significant as it confirms the presence of a live fetus and helps in assessing fetal well-being. Option A) The nurse midwife saw that the mucous plug was intact is incorrect because ballottement does not involve the assessment of the mucous plug. Option C) The nurse midwife palpated the fetal parts through the uterine wall is incorrect as it describes a different technique called palpation, not ballottement. Option D) The nurse midwife assessed that the baby is head down is incorrect because ballottement does not provide information about the baby's position in the uterus. Educationally, understanding the concept of ballottement is crucial for healthcare professionals working in obstetrics as it aids in assessing fetal well-being and confirming pregnancy. It is essential for nurses and midwives to be able to differentiate between various techniques used in prenatal monitoring to provide accurate care to pregnant clients.
Question 5 of 5
A woman in her third trimester advises the nurse that she wishes to breastfeed her baby, 'but I don’t think my nipples are right.' Upon examination, the nurse notes that the client has inverted nipples. Which of the following actions should the nurse take at this time?
Correct Answer: B
Rationale: The correct answer is B) Refer the client to a lactation consultant for advice. Inverted nipples can pose a challenge to breastfeeding, but they do not necessarily prevent a woman from successfully breastfeeding her baby. A lactation consultant is trained to provide support, guidance, and practical techniques to help mothers with various breastfeeding issues, including inverted nipples. Option A is incorrect because it is essential to provide support and encouragement to the client rather than discouraging her from attempting to breastfeed. Breastfeeding is a valuable bonding experience and provides numerous health benefits for both the mother and the baby. Option C is incorrect as notifying the labor room about the client's inverted nipples is not necessary at this point. This action does not address the client's immediate concerns or provide her with the support she needs to breastfeed successfully. Option D is incorrect because teaching the woman exercises to exert her nipples may not be effective or necessary. It is crucial to involve a specialist like a lactation consultant who can provide individualized support and guidance based on the client's specific needs and circumstances. In an educational context, nurses should be aware of common breastfeeding challenges like inverted nipples and know how to support and guide women through these issues. Referring the client to a lactation consultant demonstrates a holistic and patient-centered approach to care, ensuring the best possible outcome for both the mother and the baby.