ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
A pregnant woman who is 28 weeks gestation reports that she feels dizzy and faint when she stands up. What should the nurse instruct the patient to do?
Correct Answer: D
Rationale: The correct answer is D, instructing the pregnant woman to get up slowly and avoid standing for long periods. This is because during pregnancy, blood pressure can drop when standing up quickly, leading to dizziness and fainting. Getting up slowly allows the body to adjust gradually, preventing a sudden drop in blood pressure. Standing for long periods can worsen these symptoms, so it is important to avoid prolonged standing. A: Lying down flat on the back immediately can worsen symptoms in this case by reducing blood flow to the brain. B: Standing up quickly can exacerbate dizziness and fainting by causing a sudden drop in blood pressure. C: Drinking a large amount of water may not address the underlying issue of postural hypotension and could potentially worsen symptoms by increasing blood volume without addressing the drop in blood pressure.
Question 2 of 5
The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, 'I do not need to stop smoking my electronic cigarette because it will not harm my baby.' Which is the best response by the nurse?
Correct Answer: B
Rationale: The correct answer is B: Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity. Rationale: 1. Nicotine from electronic cigarettes can cross the placenta, affecting fetal development. 2. Nicotine exposure during pregnancy is associated with adverse outcomes like low birth weight and preterm birth. 3. The best practice during pregnancy is to avoid all tobacco products, including electronic cigarettes. Summary: A: Incorrect. Electronic cigarettes can harm the fetus due to nicotine exposure. C: Incorrect. FDA does not consider electronic cigarettes safe during pregnancy. D: Incorrect. Harm from electronic cigarettes is not limited to the first trimester.
Question 3 of 5
A pregnant woman who is 28 weeks gestation reports that she feels dizzy and faint when she stands up. What should the nurse instruct the patient to do?
Correct Answer: D
Rationale: The correct answer is D, instructing the pregnant woman to get up slowly and avoid standing for long periods. This is because during pregnancy, blood pressure can drop when standing up quickly, leading to dizziness and fainting. Getting up slowly allows the body to adjust gradually, preventing a sudden drop in blood pressure. Standing for long periods can worsen these symptoms, so it is important to avoid prolonged standing. A: Lying down flat on the back immediately can worsen symptoms in this case by reducing blood flow to the brain. B: Standing up quickly can exacerbate dizziness and fainting by causing a sudden drop in blood pressure. C: Drinking a large amount of water may not address the underlying issue of postural hypotension and could potentially worsen symptoms by increasing blood volume without addressing the drop in blood pressure.
Question 4 of 5
A nurse is assisting with a vaginal delivery. What is the most important action to take when the fetal head begins to crown?
Correct Answer: A
Rationale: The correct answer is A: apply gentle downward pressure. This action helps prevent the baby from being born too quickly, reducing the risk of tearing for the mother. It also ensures a controlled delivery, decreasing the likelihood of complications such as shoulder dystocia. Administering pain relief (B) or analgesics (C) may be necessary but not the most crucial at this moment. Performing perineal massage (D) is beneficial for reducing the risk of tearing but is not as important as guiding the baby's head during crowning.
Question 5 of 5
A nurse is providing prenatal education to a patient who is 22 weeks gestation. Which of the following topics should be emphasized at this stage of pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Signs and symptoms of preterm labor. At 22 weeks gestation, it is crucial to educate the patient about potential signs of preterm labor to help prevent premature birth and ensure the well-being of the baby. Symptoms such as regular contractions, abdominal cramping, backache, and vaginal bleeding should be discussed. This topic is time-sensitive and requires immediate action if observed. Summary of other choices: B: Signs of gestational diabetes - While important, monitoring for gestational diabetes typically occurs later in pregnancy, usually around 24-28 weeks. C: Breastfeeding education - Important, but not as time-sensitive as preterm labor education. D: Postpartum care - Relevant but more appropriate for later stages of pregnancy or after birth, not specifically at 22 weeks gestation.