ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
A woman in labor is receiving magnesium sulfate for preterm labor. What should the nurse monitor closely during this treatment?
Correct Answer: A
Rationale: The correct answer is A: Deep tendon reflexes. Magnesium sulfate can cause muscle weakness and respiratory depression due to its effect on the central nervous system. Monitoring deep tendon reflexes helps assess for magnesium toxicity. Respiratory rate (B) should also be monitored, but it is not the most critical parameter for magnesium sulfate. Maternal blood pressure (C) is important, but changes are usually gradual and not directly related to magnesium sulfate. Fetal heart rate (D) is crucial, but in this case, the focus should be on the mother's response to the medication.
Question 2 of 5
A woman in labor is diagnosed with preeclampsia. What is the most important action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Administer magnesium sulfate to prevent seizures. This is the most important action because preeclampsia can lead to eclampsia, which is characterized by seizures. Magnesium sulfate is the first-line treatment to prevent seizures in preeclamptic patients. Administering antihypertensive medications (A) may be necessary to control blood pressure, but preventing seizures takes precedence. Monitoring blood pressure (B) is important but not the most critical action. Performing an emergency cesarean section (D) may be necessary in severe cases but is not the initial priority.
Question 3 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: The correct answer is D: The Safe to Sleep campaign. The campaign educates parents on safe sleep practices to reduce the risk of SIDS. In this scenario, the patient's concerns regarding infant mortality and SIDS can be addressed by providing information on safe sleep practices. Choices A and B are not relevant to the patient's concerns as they pertain to advanced medical therapies. Choice C, Baby-Friendly Hospital Initiative, focuses on promoting breastfeeding support and practices, which is not directly related to addressing the patient's concerns about infant mortality and SIDS.
Question 4 of 5
The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to educate the patient of the risks associated with cocaine use during pregnancy (Choice C). This is important because it helps the mother understand the potential harm that cocaine can cause to both her and her baby. By providing education, the nurse can empower the mother to make informed decisions for the health and well-being of herself and her baby. Referring the patient to a drug abuse program (Choice A) may be necessary but not the immediate first step. Screening the infant for side effects (Choice B) should be done later after educating the mother. Advising the patient that her baby will be okay (Choice D) is not appropriate as it downplays the seriousness of cocaine use during pregnancy.
Question 5 of 5
The nurse is caring for a 35-year-old woman who is pregnant and has a history of hypertension. Which intervention would be most important to prevent preeclampsia?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's weight gain and blood pressure. Monitoring weight gain and blood pressure is crucial to detect early signs of preeclampsia in pregnant women with a history of hypertension. Weight gain can indicate fluid retention, a common symptom of preeclampsia, while high blood pressure is a key indicator of the condition. By closely monitoring these parameters, the nurse can promptly identify and manage preeclampsia to prevent complications for both the mother and the baby. Incorrect choices: A: Encouraging regular physical activity and a healthy diet is important for overall health but may not directly prevent preeclampsia. C: Prescribing antihypertensive medications immediately may be necessary if blood pressure is severely elevated, but it is not the most important intervention for preventing preeclampsia. D: Avoiding prenatal visits to prevent stress is not a valid approach as regular prenatal care is essential for monitoring the pregnancy and managing any complications that may