ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 5
How long should clamping of the cord be delayed in an uncomplicated delivery to increase the newborn's hemoglobin levels and improve circulation?
Correct Answer: A
Rationale: The correct answer is A (30-60 seconds) for delayed cord clamping in an uncomplicated delivery. Delaying cord clamping for 30-60 seconds allows more blood to flow from the placenta to the baby, increasing the baby's hemoglobin levels and improving circulation. This extra blood transfer can provide the baby with essential nutrients and oxygen, reducing the risk of anemia and improving overall health outcomes. Choice B (15-30 seconds) may not provide enough time for sufficient blood transfer compared to the optimal window of 30-60 seconds. Choice C (30 seconds) is within the recommended range, but 30-60 seconds is considered more beneficial for maximizing blood flow to the newborn. Choice D (Delayed cord clamping is not recommended) is incorrect as delayed cord clamping has been shown to have various benefits for newborns when done in uncomplicated deliveries.
Question 2 of 5
A pregnant patient is at 28 weeks gestation and is diagnosed with gestational diabetes. What is the most important aspect of the patient's care plan?
Correct Answer: B
Rationale: The correct answer is B: Monitoring blood glucose levels and maintaining a balanced diet. This is crucial for managing gestational diabetes, as it helps control blood sugar levels to prevent complications for both the mother and baby. Regular monitoring ensures timely adjustments to treatment. A balanced diet helps regulate blood sugar levels and provides essential nutrients for the baby's growth. Choice A is important but not as critical as monitoring blood glucose levels, as weight gain should be monitored but is not the primary focus in gestational diabetes. Choice C is not directly related to managing gestational diabetes. Choice D may be necessary in some cases, but it is not the most important aspect of care compared to monitoring blood glucose levels and diet.
Question 3 of 5
A nurse is caring for a postpartum person who is breastfeeding. What is the most important factor for successful breastfeeding?
Correct Answer: B
Rationale: The correct answer is B: proper positioning. Proper positioning is crucial for successful breastfeeding as it ensures the baby latches on effectively, leading to efficient milk transfer and preventing nipple pain or damage. Incorrect answers: A: frequent breastfeeding - While important, proper positioning is more critical for successful breastfeeding. C: supportive communication - While important for overall well-being, it is not the most crucial factor for successful breastfeeding. D: promote rest and hydration - While important for the postpartum person's health, proper positioning is key for successful breastfeeding.
Question 4 of 5
A pregnant patient is 32 weeks gestation and reports having trouble sleeping. Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Sleep with several pillows to elevate the upper body. Elevating the upper body with pillows can help relieve discomfort from heartburn, shortness of breath, and back pain commonly experienced during pregnancy. This position promotes better circulation and reduces pressure on the uterus. Incorrect choices: A: Taking a warm bath may help relax but does not address the underlying sleep issues. B: Sleeping on the back can compress major blood vessels, leading to decreased blood flow to the fetus. D: Taking sedatives is not recommended during pregnancy due to potential risks to the fetus.
Question 5 of 5
A nurse is caring for a postpartum person who is experiencing excessive bleeding. What should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A: perform uterine massage. This is the priority because uterine massage helps to stimulate uterine contractions, which can help control bleeding in postpartum individuals. It is crucial to address the source of bleeding first. Performing a vaginal examination (choice B) may exacerbate bleeding. Evaluating blood loss (choice C) is important but not the initial step. Performing a uterine check (choice D) is vague and not as specific as uterine massage in addressing postpartum bleeding.