ATI RN
Maternity Heartbeat Monitor Questions
Question 1 of 5
A woman in labor begins to experience severe lower abdominal pain and is found to have a ruptured uterus. What is the first intervention the nurse should perform?
Correct Answer: B
Rationale: The correct answer is B: Prepare the patient for immediate surgery. In the case of a ruptured uterus, prompt surgical intervention is crucial to control bleeding, repair the uterus, and prevent further complications such as hemorrhage and infection. Performing surgery is the priority over other interventions like administering fluids, pain relief medications, or performing a vaginal examination, as these actions do not address the immediate life-threatening situation of uterine rupture. Administering IV fluids may be necessary during surgery, and pain relief can be addressed post-operatively. Vaginal examination is contraindicated in cases of suspected uterine rupture as it can exacerbate the bleeding and worsen the condition.
Question 2 of 5
A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate?
Correct Answer: C
Rationale: Rationale: 1. Pregnancy with a high BMI increases the risk of wound infection post-delivery due to delayed wound healing and increased tissue trauma. 2. Negative STI test and committed relationship decrease risks of neonatal blindness and birth injury. 3. Wound infection risk is directly related to BMI and not affected by STI status or relationship status. Summary: A: Incorrect - No connection between STI status or relationship status with neonatal blindness. B: Incorrect - No direct relation between STI status or relationship status with birth injury risk. D: Incorrect - Preeclampsia risk is not influenced by STI status or relationship status.
Question 3 of 5
A pregnant woman in her second trimester asks the nurse about taking herbal supplements to alleviate nausea. Which of the following is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B because herbal supplements can vary in safety during pregnancy. It is always recommended to consult a healthcare provider before taking any supplements, as some herbs may potentially harm the pregnancy or interact with other medications. Answer A is incorrect as not all herbal supplements are safe during pregnancy. Answer C is incorrect as some herbal supplements may be safe if recommended by a healthcare provider. Answer D is incorrect as prescription medications are often more rigorously tested and regulated for safety during pregnancy compared to herbal supplements.
Question 4 of 5
The nurse is teaching a pregnant patient about prenatal vitamins. Which statement by the patient indicates that further teaching is needed?
Correct Answer: B
Rationale: The correct answer is B. The rationale is that stopping prenatal vitamins if feeling nauseous can deprive the baby of essential nutrients crucial for proper development. Nausea is common during pregnancy, and it's important to continue taking prenatal vitamins to ensure the baby receives necessary nutrients. Choices A, C, and D all demonstrate understanding of the importance of prenatal vitamins in supporting the baby's growth and preventing birth defects.
Question 5 of 5
A nurse is educating a pregnant patient about signs of labor. Which of the following statements by the patient indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C. The loss of the mucous plug does not necessarily indicate that labor is starting right away. It can happen days to weeks before labor begins. A: Regular contractions every 10 minutes suggest labor progression. B: A bloody show can indicate the onset of labor. D: Water breaking is a sign of labor and requires immediate medical attention. Therefore, the patient needs further teaching on the timing and significance of losing the mucous plug.