ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
The nurse has made it a goal to increase the rate at which women begin prenatal care in the first trimester. The nurse relates this decision to national goals for better maternal and infant outcomes. What guidelines will the nurse use to guide her maternal health goals?
Correct Answer: D
Rationale: The correct answer is D: Healthy People 2020. The nurse will use Healthy People 2020 guidelines because they are evidence-based, nationally recognized objectives that focus on improving the health and well-being of individuals, families, and communities. These guidelines specifically address maternal and infant health outcomes, making them the most relevant choice for the nurse's goal. Incorrect Choices: A: WHO Maternal care guidelines - While WHO guidelines are important, they are not specific to the national goals and objectives the nurse is trying to align with. B: State Practice Acts - State Practice Acts govern the scope of practice for nurses and do not provide specific guidelines for maternal health goals. C: AWHONN white papers - AWHONN provides valuable resources, but they may not be as comprehensive or nationally recognized as Healthy People 2020 for setting maternal health goals.
Question 2 of 5
A nurse is caring for a patient in labor who is experiencing intense pain. Which of the following would be the most appropriate intervention to manage pain during labor?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to practice deep breathing and relaxation techniques. This is the most appropriate intervention to manage pain during labor because deep breathing and relaxation techniques can help the patient to cope with the pain, reduce stress, and promote a sense of control. These techniques are safe, non-invasive, and can be effective in managing labor pain without the need for medication or invasive procedures. Summary: - Choice B (Administer intravenous fluids): Intravenous fluids do not directly reduce pain sensation and are not a primary intervention for managing labor pain. - Choice C (Provide a sedative): Sedatives may affect the baby and can interfere with the progress of labor. They do not address the root cause of pain during labor. - Choice D (Suggest an epidural): While epidurals can provide effective pain relief, they are not always necessary or desired by all patients. Encouraging non-pharmacological methods first is often preferred.
Question 3 of 5
The nurse is providing prenatal education to a patient who is at 20 weeks gestation. Which of the following topics should the nurse prioritize during this visit?
Correct Answer: C
Rationale: The correct answer is C: Educating about normal pregnancy changes. At 20 weeks gestation, the priority is to educate the patient about normal physiological changes she may experience during pregnancy. This knowledge helps the patient understand what is considered normal and when to seek medical attention. Managing gestational diabetes (A) is important but typically addressed later in pregnancy. Reviewing newborn care practices (B) and discussing postpartum care (D) are important topics but not a priority at 20 weeks gestation. It is essential to focus on educating the patient about the current stage of pregnancy to promote optimal prenatal care.
Question 4 of 5
The nurse is caring for a pregnant patient who is at 30 weeks gestation and is diagnosed with preterm labor. What intervention is the nurse likely to implement first?
Correct Answer: A
Rationale: The correct answer is A: Administering corticosteroids to enhance fetal lung maturity. Administering corticosteroids is the priority intervention in preterm labor at 30 weeks gestation as it helps accelerate fetal lung maturity, reducing the risk of respiratory distress syndrome. This intervention is crucial in improving neonatal outcomes. Administering magnesium sulfate (Choice B) is used to prevent seizures in preeclampsia, not preterm labor. Administering antibiotics (Choice C) is not the priority in preterm labor unless there is evidence of infection. Starting a medication to stop contractions (Choice D) may be necessary, but enhancing fetal lung maturity takes precedence to improve the baby's respiratory status.
Question 5 of 5
The nurse is caring for a pregnant patient who has been diagnosed with iron-deficiency anemia. Which of the following should the nurse recommend to improve iron absorption?
Correct Answer: B
Rationale: The correct answer is B: Take iron supplements with a vitamin C source, such as orange juice. Vitamin C enhances iron absorption by converting non-heme iron (plant-based) into a more absorbable form. This combination increases the bioavailability of iron. Options A, C, and D are incorrect. A: Taking iron supplements with milk can decrease iron absorption due to calcium and casein in milk inhibiting iron absorption. C: Calcium-rich foods can inhibit iron absorption when taken together. D: Coffee and tea contain tannins that can inhibit iron absorption.