ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
The nurse is assessing a pregnant patient who is 30 weeks gestation and is concerned about the possibility of gestational diabetes. Which of the following symptoms should the nurse educate the patient to report?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and frequent urination. This is because these symptoms are indicative of hyperglycemia, which is common in gestational diabetes. Increased thirst occurs due to the body trying to flush out excess sugar through urine, leading to frequent urination. This should be reported to the healthcare provider for further evaluation and management. Other choices are incorrect: B: Sudden weight loss and increased energy are not typical symptoms of gestational diabetes. Weight loss can occur in uncontrolled diabetes, but it is not a common symptom in gestational diabetes. C: Extreme fatigue and headaches can be non-specific symptoms and are not necessarily related to gestational diabetes. D: Decreased fetal movement and nausea are more commonly associated with other complications in pregnancy, such as placental insufficiency or preeclampsia, rather than gestational diabetes.
Question 2 of 5
A nurse is caring for a pregnant patient who is at 20 weeks gestation and reports experiencing leg cramps. What is the nurse's most appropriate intervention?
Correct Answer: B
Rationale: The correct answer is B because elevating the legs and performing leg stretches can help improve circulation and relieve leg cramps during pregnancy. This intervention promotes blood flow and prevents muscle fatigue. Calcium supplements (choice A) may be helpful for preventing leg cramps in some cases but are not the first-line intervention. Instructing the patient to rest (choice C) may worsen leg cramps due to decreased circulation. Administering pain medication (choice D) should be avoided unless necessary, as it does not address the root cause of the leg cramps.
Question 3 of 5
The nurse is caring for a pregnant patient who is 38 weeks gestation and reports feeling pelvic pressure and mild cramping. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A because monitoring the fetal heart rate and checking for signs of labor are essential in assessing the well-being of the fetus and determining if the patient is in active labor. This step helps the nurse identify any potential complications and take appropriate actions promptly. Choice B is incorrect because simply instructing the patient to rest may not address the underlying cause of pelvic pressure and cramping. Choice C is incorrect as assessing blood pressure and urine for protein is not the priority in this situation. Choice D is incorrect because performing a pelvic exam should be done after monitoring fetal well-being and ruling out active labor.
Question 4 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 5 of 5
A pregnant patient is at 30 weeks gestation and is experiencing difficulty breathing, especially when lying flat. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A - Encourage the patient to rest in an upright position. This is the priority action because the patient is likely experiencing supine hypotensive syndrome due to pressure on the vena cava when lying flat. This can compromise blood flow to the fetus. By having the patient rest in an upright position, the pressure on the vena cava is reduced, improving blood flow and oxygenation for both the patient and the fetus. Administering oxygen and preparing for delivery (option B) is not the immediate priority. Monitoring fetal heart rate (option C) is important but not the initial action. Instructing the patient to take deep breaths and stay in bed (option D) does not address the underlying issue of supine hypotensive syndrome.