ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Using marijuana while pregnant can have a negative effect on the neurological development of your baby. Rationale: 1. Marijuana use during pregnancy has been associated with adverse effects on the developing fetus, including potential negative impacts on neurological development. 2. The nurse's statement acknowledges the potential harm to the baby's neurological development, emphasizing the importance of avoiding marijuana during pregnancy. 3. This response focuses on providing essential information to the patient about the specific risks associated with marijuana use during pregnancy, highlighting the importance of making informed choices for the health of the baby. Summary: A: This choice makes assumptions about the patient's past behavior and does not provide essential information about the risks of marijuana use during pregnancy. B: This choice focuses on the timing of stopping marijuana use rather than addressing the potential harm to the baby's neurological development. D: This choice mentions miscarriage as a risk, which is not the primary concern associated with marijuana use during pregnancy.
Question 2 of 5
The nurse is caring for a pregnant patient who is experiencing frequent contractions. The patient asks the nurse if the contractions are normal. Which response by the nurse is most appropriate?
Correct Answer: C
Rationale: The correct answer is C: Frequent contractions may be a sign of preterm labor, and further evaluation is needed. This response is appropriate because frequent contractions in a pregnant patient can indicate preterm labor, which requires immediate medical attention to prevent potential complications for both the mother and the baby. It is crucial to evaluate the situation to determine the cause of the contractions and take appropriate actions. Explanation for other choices: A: Contractions are common at this stage and are usually harmless - This is inaccurate as frequent contractions, especially in a pregnant patient, should not be dismissed as harmless without proper evaluation. B: Frequent contractions are always a sign of labor starting - This is incorrect because frequent contractions do not always indicate the onset of labor, especially in the case of preterm labor. D: You should drink more water to stop the contractions from happening - This is not an appropriate response as hydration may not necessarily stop contractions, especially if they are due to pre
Question 3 of 5
The nurse is teaching a pregnant patient about preparing for childbirth. Which of the following statements by the patient indicates that further teaching is needed?
Correct Answer: B
Rationale: The correct answer is B. Staying in bed during labor is not recommended as it can slow down labor progress and increase discomfort. Rationale: 1. A: Correct - Breathing exercises help manage pain and promote relaxation during labor. 2. C: Correct - Learning about different labor positions can ease pain and facilitate labor progress. 3. D: Correct - Discussing pain relief options with healthcare provider is important for informed decision-making. Summary: Choice B is incorrect as it goes against best practices for labor. The other choices demonstrate understanding of labor preparation and pain management strategies.
Question 4 of 5
A 26-year-old pregnant woman who is 12 weeks gestation asks the nurse about the importance of folic acid. Which of the following is the best response by the nurse?
Correct Answer: A
Rationale: The correct answer is A: Folic acid helps prevent birth defects of the spine and brain. Folic acid is crucial during pregnancy as it plays a key role in neural tube development, reducing the risk of neural tube defects like spina bifida. This is supported by research and guidelines. B: Folic acid does not influence the gender of the baby, as it is determined by the father's sperm. C: Folic acid does not directly prevent nausea during pregnancy; it is mainly for neural tube development. D: Folic acid does not specifically help the placenta attach to the uterus; that process is regulated by other factors. In summary, choice A is correct as it directly relates to the essential role of folic acid in preventing birth defects, while the other choices are unrelated or inaccurate in the context of folic acid's benefits during pregnancy.
Question 5 of 5
The nurse is providing education to a pregnant patient who is experiencing nausea and vomiting during pregnancy. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B because eating small, frequent meals and avoiding greasy foods can help manage nausea and vomiting during pregnancy by preventing the stomach from becoming too full or empty. Large amounts of water at once (choice A) can worsen nausea. Taking anti-nausea medications without consulting a doctor (choice C) can be unsafe during pregnancy. Lying flat on your back after eating (choice D) can increase the risk of acid reflux.