ATI RN
Monitoring Baby During Labour Questions
Question 1 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
Question 2 of 5
The nurse is caring for a pregnant patient who is complaining of frequent heartburn. Which of the following suggestions would be most helpful for managing heartburn during pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This suggestion helps manage heartburn during pregnancy by preventing large meals that can put pressure on the stomach and lead to acid reflux. Eating smaller, more frequent meals helps maintain stable digestion and minimizes the likelihood of triggering heartburn episodes. A: Lie down immediately after meals is incorrect because it can worsen heartburn by allowing stomach acid to flow back into the esophagus. C: Drinking large amounts of water after meals can dilute stomach acid, but it may also distend the stomach and exacerbate heartburn symptoms. D: Increasing intake of spicy foods can aggravate heartburn due to the potential for irritating the stomach lining and increasing acid production.
Question 3 of 5
The nurse is caring for a 32-year-old pregnant patient who is 20 weeks gestation and has a BMI of 40. Which of the following conditions should the nurse monitor for more closely?
Correct Answer: A
Rationale: The correct answer is A: Gestational diabetes and preeclampsia. A BMI of 40 indicates obesity, which increases the risk of developing gestational diabetes and preeclampsia. Obesity is a significant risk factor for these conditions due to the increased strain on the body during pregnancy. Gestational diabetes can lead to complications for both the mother and the baby, while preeclampsia can be life-threatening if not managed properly. Monitoring for these conditions closely is crucial in this high-risk patient. Incorrect Choices: B: Hyperemesis gravidarum - This condition is characterized by severe nausea and vomiting during pregnancy and is not directly related to the patient's BMI. C: Iron-deficiency anemia - While obesity can impact iron levels, it is not the primary concern in this scenario. D: Intrauterine growth restriction (IUGR) - While obesity can increase the risk of certain pregnancy complications, IUGR is not directly linked to the patient's
Question 4 of 5
A nurse is providing prenatal care to a 24-week pregnant patient. Which of the following findings should be reported immediately?
Correct Answer: C
Rationale: The correct answer is C: Severe headaches and visual disturbances. These symptoms can indicate a serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for both the mother and the baby. Severe headaches and visual disturbances are signs of increased blood pressure, protein in the urine, and potential organ damage. Reporting these findings promptly allows for timely intervention. Incorrect choices: A: Mild leg swelling and varicosities are common in pregnancy and typically not urgent unless accompanied by other concerning symptoms. B: Slight back pain and cramping are common discomforts in pregnancy and may not indicate a serious issue unless they are severe or persistent. D: Increased appetite and weight gain are expected during pregnancy and may not require immediate reporting unless there are other concerning symptoms present.
Question 5 of 5
The nurse is educating a pregnant patient about the symptoms of preterm labor. Which of the following symptoms should the nurse advise the patient to report immediately?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Painful, regular contractions every 10 minutes or less can indicate preterm labor. 2. Regular contractions are a sign of the uterus preparing for birth. 3. Painful contractions at regular intervals can progress quickly to preterm delivery. 4. Reporting this symptom immediately allows for timely intervention to prevent premature birth. Summary: A: Low back pain and cramping are common in pregnancy but not necessarily indicative of preterm labor. B: Increased vaginal discharge may be normal in pregnancy and not a direct sign of preterm labor. C: Painful, regular contractions every 10 minutes or less are a critical sign of preterm labor. D: Feeling pelvic pressure after physical activity is common in late pregnancy and not specific to preterm labor.