ATI RN
External Maternal Monitoring Questions
Question 1 of 5
The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different?
Correct Answer: D
Rationale: 1. The correct answer is D: Hospital support for breastfeeding. This is the most different trend compared to the early 1980s. 2. In the past, breastfeeding support in hospitals was minimal, but now it is a standard practice to provide education and assistance. 3. Fetal monitoring throughout labor (A) has been a common practice for many years and is not a recent trend. 4. Postpartum stay of 10 days (B) is excessive; postpartum stays have actually become shorter over time. 5. Having expectant partners and family in the operating room for cesarean birth (C) is a more recent practice but has become increasingly common in recent years.
Question 2 of 5
The nurse is counseling a pregnant patient who is concerned about gestational diabetes. The patient has a family history of diabetes and is overweight. Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because gestational diabetes can indeed cause excessive birth weight, leading to delivery complications such as shoulder dystocia and cesarean section. This is important for the patient to be aware of to ensure the health and safety of both herself and her baby. Choice A is incorrect because gestational diabetes can persist after delivery and may increase the risk of developing type 2 diabetes later in life for both the mother and the baby. Choice C is incorrect because pregnant women with gestational diabetes still need carbohydrates for proper nutrition; however, they should monitor their carbohydrate intake and choose complex carbohydrates to manage blood sugar levels. Choice D is incorrect because having gestational diabetes does increase the risk of developing type 2 diabetes later in life. It is important for the patient to understand this potential risk and take steps to manage their health accordingly.
Question 3 of 5
The nurse is assessing a pregnant patient in the second trimester who is complaining of leg cramps. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: The correct answer is B. Elevating her legs while resting helps improve circulation and reduce the risk of leg cramps in pregnant patients. This position promotes blood flow and reduces the pressure on the blood vessels. Choices A and D do not directly address improving circulation or reducing pressure on blood vessels. Choice C, while beneficial in general, may not provide immediate relief for the current leg cramps. Therefore, elevating the legs while resting is the most appropriate intervention for the pregnant patient experiencing leg cramps in the second trimester.
Question 4 of 5
A nurse is caring for a pregnant patient who is 8 weeks gestation. The patient is asking about the safety of taking over-the-counter cold medications. Which response is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because during pregnancy, it is essential to be cautious about medications. Choosing medications specifically labeled for pregnancy ensures safety for both the mother and the developing fetus. Choice A is incorrect because not all over-the-counter medications are safe during pregnancy. Choice C is incorrect as some cold medications are safe when used as directed. Choice D is incorrect as not all herbal remedies are proven safe for use during pregnancy. It is important to prioritize the well-being of both the mother and the baby by following healthcare provider recommendations and using medications approved for use during pregnancy.
Question 5 of 5
The nurse is providing education to a pregnant patient about diet during pregnancy. Which of the following statements indicates that the patient needs further teaching?
Correct Answer: C
Rationale: The correct answer is C because the statement "I can eat whatever I want as long as I am gaining weight steadily" indicates a misunderstanding of healthy eating during pregnancy. The rationale is that pregnancy is a crucial time for proper nutrition, and simply focusing on weight gain without considering the quality of food can lead to health risks for both the mother and the baby. Choices A, B, and D are all correct statements that promote a healthy diet during pregnancy by emphasizing the importance of nutrient-dense foods, limiting unhealthy choices, and staying hydrated.