ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
The nurse is caring for a pregnant patient who is at 30 weeks gestation and is diagnosed with preterm labor. What intervention is the nurse likely to implement first?
Correct Answer: A
Rationale: The correct answer is A: Administering corticosteroids to enhance fetal lung maturity. Administering corticosteroids is the priority intervention in preterm labor at 30 weeks gestation as it helps accelerate fetal lung maturity, reducing the risk of respiratory distress syndrome. This intervention is crucial in improving neonatal outcomes. Administering magnesium sulfate (Choice B) is used to prevent seizures in preeclampsia, not preterm labor. Administering antibiotics (Choice C) is not the priority in preterm labor unless there is evidence of infection. Starting a medication to stop contractions (Choice D) may be necessary, but enhancing fetal lung maturity takes precedence to improve the baby's respiratory status.
Question 2 of 5
The nurse is caring for a pregnant patient who is at 25 weeks gestation and is concerned about gestational diabetes. Which of the following symptoms should the nurse educate the patient to watch for?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and frequent urination. These symptoms are indicative of gestational diabetes due to elevated blood sugar levels. Increased thirst is a result of the body trying to dilute the excess glucose through increased fluid intake, leading to frequent urination. This occurs because the kidneys work to eliminate the excess glucose from the blood by excreting it in the urine. Therefore, educating the patient to watch for these symptoms is crucial for early detection and management of gestational diabetes. Choices B, C, and D are incorrect as they do not directly correlate with the symptoms of gestational diabetes. Severe leg cramps and dizziness (Choice B) may be related to other factors such as dehydration or electrolyte imbalance. Constant fatigue and swollen feet (Choice C) could be common symptoms during pregnancy but are not specific to gestational diabetes. Shortness of breath and dizziness upon standing (Choice D) are more likely to be related to issues such as anemia or changes
Question 3 of 5
A nurse is caring for a pregnant patient who is at 16 weeks gestation and is concerned about varicose veins. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Elevate the legs and avoid prolonged periods of standing. Elevating the legs helps improve circulation and reduces pressure on the veins, which can help alleviate varicose veins. Prolonged standing can worsen varicose veins by increasing pressure on the lower extremities. A: Wearing tight compression stockings can further constrict blood flow and should be avoided. C: Massaging the affected area may not be recommended as it can potentially increase the risk of blood clots in pregnant women. D: Applying ice packs is not recommended for varicose veins as it may not effectively address the underlying issue of poor circulation.
Question 4 of 5
The nurse is caring for a pregnant patient who is at 28 weeks gestation and has been diagnosed with a urinary tract infection (UTI). Which of the following interventions should the nurse prioritize?
Correct Answer: A
Rationale: The correct answer is A because administering antibiotics is crucial in treating a urinary tract infection (UTI) during pregnancy to prevent complications such as preterm labor or kidney infection. Antibiotics are necessary to eradicate the infection and ensure the health of both the mother and the baby. Encouraging the patient to drink cranberry juice (B) may help prevent UTIs but is not sufficient treatment for an existing infection. Teaching the patient to practice good hand hygiene (C) is important for general infection prevention but does not directly address the UTI. Performing a bladder scan (D) to check for residual urine is not a priority in this case as the focus should be on treating the infection first.
Question 5 of 5
A nurse is caring for a pregnant patient who is at 22 weeks gestation and reports experiencing vaginal bleeding. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C: Assess the bleeding and notify the healthcare provider immediately. This is the priority action because vaginal bleeding during pregnancy can indicate serious complications such as placental abruption or preterm labor. By assessing the bleeding, the nurse can determine the severity and nature of the bleeding to provide crucial information to the healthcare provider for prompt intervention. Notifying the healthcare provider immediately ensures timely assessment and appropriate management to protect the health and well-being of both the mother and fetus. Encouraging rest (choice A) may be appropriate, but assessing the bleeding and notifying the healthcare provider take precedence. Monitoring fetal heart rate (choice B) is important but secondary to assessing the bleeding. Instructing the patient to use a sanitary pad (choice D) is not sufficient to address the potential underlying causes of vaginal bleeding.