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 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 2 of 5
A pregnant patient is at 32 weeks gestation and reports that she feels short of breath when lying flat. What should the nurse's priority action be?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to sit up and rest in a more upright position. This is the priority action because it helps relieve pressure on the diaphragm and allows for better lung expansion, improving oxygenation for the pregnant patient experiencing shortness of breath. Sitting upright also reduces the risk of supine hypotensive syndrome by improving blood flow to the placenta. Assessing respiratory rate and oxygen saturation (Choice A) may be important but should come after the patient is in a more comfortable position. Deep breathing exercises (Choice C) may not address the immediate relief needed for the patient. Instructing the patient to take shallow breaths (Choice D) may worsen the situation by limiting oxygen intake and exacerbating respiratory distress.
Question 3 of 5
A pregnant patient at 26 weeks gestation reports pain in the lower abdomen and back. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to rest and monitor for changes in symptoms. At 26 weeks gestation, lower abdominal and back pain could indicate preterm labor. The first step is to have the patient rest to reduce uterine activity. Monitoring for changes in symptoms is crucial to assess if the pain is worsening and if there are any signs of preterm labor. Performing a pelvic exam (B) could potentially stimulate contractions and should be avoided unless absolutely necessary. Administering pain medication (C) does not address the underlying cause and could mask symptoms. Assessing blood pressure for signs of preeclampsia (D) is important but not the first priority in this scenario.
Question 4 of 5
The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.
Question 5 of 5
The nurse is caring for a pregnant patient who is 32 weeks gestation and reports a sudden increase in vaginal discharge. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Assess the color, consistency, and odor of the discharge. This is the priority action because sudden increase in vaginal discharge could indicate potential issues such as infection or preterm labor. By assessing the characteristics of the discharge, the nurse can gather important information to determine the underlying cause and provide appropriate interventions. Choice B is incorrect as simply instructing the patient to rest and monitor the discharge does not address the potential seriousness of the situation. Choice C is incorrect as increasing fluid intake may not necessarily reduce the discharge and could potentially worsen the situation if there is an underlying issue. Choice D is incorrect as performing a pelvic exam should not be the initial priority without first assessing the characteristics of the discharge.