ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
The nurse is caring for a pregnant patient who has a BMI of 30. Which of the following complications is the patient at increased risk for during pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Preeclampsia and gestational diabetes. A pregnant patient with a BMI of 30 is considered obese, increasing the risk of developing preeclampsia and gestational diabetes. Obesity is a known risk factor for these complications due to the increased strain on the body's systems. Preeclampsia is characterized by high blood pressure and protein in the urine, which can lead to serious complications for both the mother and the baby. Gestational diabetes is a type of diabetes that develops during pregnancy and can lead to complications for both the mother and the baby if not managed properly. The other choices (B, C, D) are not directly associated with obesity or a BMI of 30 during pregnancy, making them incorrect.
Question 2 of 5
A nurse is educating a pregnant patient about warning signs to report during pregnancy. Which of the following statements indicates that the teaching has been effective?
Correct Answer: A
Rationale: The correct answer is A because sudden increase in swelling, especially in hands and face, can indicate preeclampsia, a serious condition during pregnancy. Swelling in these areas can be a sign of fluid retention and increased blood pressure. Prompt reporting and intervention are crucial to prevent complications for both the mother and the baby. Choices B, C, and D are incorrect because: B: Waiting until after the due date to report concerns can lead to missed opportunities for early intervention and can be dangerous for both the mother and the baby. C: Changes in fetal movement should be reported immediately, not just after the third trimester, as they can indicate fetal distress. D: Headaches and blurry vision, even if not severe, can be symptoms of preeclampsia or other serious conditions that require immediate attention. Waiting for symptoms to worsen can be harmful.
Question 3 of 5
A pregnant patient reports nausea and vomiting and asks the nurse about ways to manage these symptoms. Which of the following suggestions should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Avoid foods with strong smells and eat small, frequent meals. This suggestion is appropriate as it helps manage nausea and vomiting in pregnancy. Avoiding strong smells can reduce triggers for nausea, and eating small, frequent meals helps maintain stable blood sugar levels. This approach prevents the stomach from becoming too full or too empty, which can trigger nausea. A: Eating large meals can exacerbate nausea and vomiting due to increased stomach distention. B: Taking anti-nausea medication without consulting a healthcare provider is not safe during pregnancy as it may harm the fetus. D: Lying down immediately after meals can worsen symptoms by promoting reflux and indigestion. In summary, Option C is the best choice as it addresses the symptoms of nausea and vomiting in pregnancy effectively.
Question 4 of 5
A nurse is educating a pregnant patient about the importance of folic acid supplementation. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: Rationale: C is the correct answer because stopping folic acid after the first trimester is incorrect. Folic acid is crucial for the baby's neural tube development, which occurs in the early stages of pregnancy. Therefore, discontinuing supplementation after the first trimester could increase the risk of neural tube defects. Choices A, B, and D are incorrect because they emphasize the importance of folic acid in preventing birth defects and highlight the necessity of consistent supplementation throughout pregnancy for optimal benefits.
Question 5 of 5
A nurse is assessing a pregnant patient who is at 38 weeks gestation and reports a sudden decrease in fetal movement. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C, performing a nonstress test and assessing fetal heart rate. This is the priority action because a sudden decrease in fetal movement at 38 weeks gestation could indicate fetal distress or potential complications. A nonstress test helps evaluate fetal well-being by monitoring the fetal heart rate in response to fetal movement. This test provides immediate information about the baby's condition and any need for further intervention. Encouraging the patient to drink a cold beverage and lie down may not be effective in this situation, as it does not address the underlying cause of decreased fetal movement. Asking the patient to monitor fetal movements for 24 hours could delay necessary intervention, and waiting until the next prenatal appointment could lead to missed opportunities for timely assessment and management of fetal distress.