ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
The nurse is assessing a pregnant patient at 28 weeks gestation who reports increased vaginal discharge. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Assess the characteristics of the discharge, including color and odor. This is the priority action because it allows the nurse to gather important information to determine if the increased vaginal discharge is normal or if it may indicate an infection or other issue. By assessing the characteristics, such as color and odor, the nurse can make an informed decision on the next steps for the patient's care. Choice B is incorrect because simply monitoring for changes without assessing the characteristics of the discharge may delay necessary interventions. Choice C is incorrect because performing a pelvic exam should not be the first action without first assessing the characteristics of the discharge. Choice D is incorrect because calling the healthcare provider immediately may not be necessary if the discharge is normal.
Question 2 of 5
A nurse is caring for a pregnant patient who is 28 weeks gestation and has been diagnosed with gestational diabetes. What is the nurse's priority teaching for this patient?
Correct Answer: B
Rationale: The correct answer is B: Monitor blood glucose levels regularly and follow a balanced diet. This is the priority teaching for a pregnant patient with gestational diabetes because it focuses on managing blood sugar levels effectively. Regular monitoring helps the patient understand how their body responds to different foods and activities. Following a balanced diet helps maintain stable blood sugar levels and provides essential nutrients for the baby's development. A: Encouraging vigorous exercise may not be safe during pregnancy, especially for a patient with gestational diabetes. C: Limiting fluid intake is not a priority teaching for gestational diabetes and may lead to dehydration, which can be harmful during pregnancy. D: Recommending insulin therapy immediately is not the first-line treatment for gestational diabetes. Lifestyle modifications like diet and exercise are usually tried first.
Question 3 of 5
The nurse is educating a pregnant patient on the importance of maintaining a balanced diet during pregnancy. Which of the following statements by the patient indicates effective teaching?
Correct Answer: C
Rationale: Rationale: Choice C is correct because it emphasizes the importance of eating a variety of nutrient-dense foods and avoiding processed foods. This approach ensures the pregnant patient receives essential nutrients for her health and the baby's development. Variety helps cover all necessary nutrients, while avoiding processed foods reduces the intake of unhealthy additives. This balanced diet promotes optimal health outcomes for both the mother and the baby. Summary of Incorrect Choices: A: Avoiding all carbohydrates is not recommended as they are a vital energy source and cutting them out completely can lead to nutritional deficiencies. B: Eating extra food indiscriminately can result in excessive weight gain and complications. The focus should be on nutrient-dense foods, not just quantity. D: Focusing solely on protein neglects other important nutrients needed during pregnancy. A well-rounded diet is essential for overall health.
Question 4 of 5
The nurse is caring for a pregnant patient who is at 32 weeks gestation and reports experiencing frequent heartburn. Which of the following interventions is most appropriate for the nurse to recommend?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This intervention is appropriate because smaller, more frequent meals can help reduce the pressure on the stomach, decrease acid reflux, and alleviate heartburn symptoms in pregnant patients. By eating smaller meals, the pregnant patient can prevent the stomach from becoming overly full and reduce the likelihood of stomach acid regurgitating into the esophagus. This approach promotes better digestion, minimizes discomfort, and supports the overall well-being of the patient and the fetus. Other choices are incorrect: A: Lying down immediately after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus. C: Drinking large amounts of water after meals can further distend the stomach and exacerbate heartburn symptoms. D: Although avoiding spicy foods and taking antacids may provide temporary relief, they do not address the root cause of the issue and may not be as effective as adopting a dietary change like eating smaller, more frequent meals
Question 5 of 5
A nurse is providing prenatal education to a pregnant patient who is at 30 weeks gestation. Which of the following symptoms should the nurse instruct the patient to report immediately?
Correct Answer: C
Rationale: The correct answer is C. Regular contractions every 10 minutes or less can indicate preterm labor, which is a serious concern at 30 weeks gestation. The nurse should instruct the patient to report this immediately for further evaluation to prevent premature delivery. A: Mild back pain and cramping are common discomforts during pregnancy and may not be alarming at this stage. B: Feeling of pelvic pressure after physical activity is also common during pregnancy and does not necessarily indicate an urgent issue. D: Occasional headaches and fatigue are common symptoms in pregnancy and do not typically require immediate attention unless they are severe or persistent.