ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
The nurse is caring for a pregnant patient who is complaining of frequent heartburn. Which of the following suggestions would be most helpful for managing heartburn during pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This suggestion helps manage heartburn during pregnancy by preventing large meals that can put pressure on the stomach and lead to acid reflux. Eating smaller, more frequent meals helps maintain stable digestion and minimizes the likelihood of triggering heartburn episodes. A: Lie down immediately after meals is incorrect because it can worsen heartburn by allowing stomach acid to flow back into the esophagus. C: Drinking large amounts of water after meals can dilute stomach acid, but it may also distend the stomach and exacerbate heartburn symptoms. D: Increasing intake of spicy foods can aggravate heartburn due to the potential for irritating the stomach lining and increasing acid production.
Question 2 of 5
A nurse is providing prenatal care to a 24-week pregnant patient. Which of the following findings should be reported immediately?
Correct Answer: C
Rationale: The correct answer is C: Severe headaches and visual disturbances. These symptoms can indicate a serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for both the mother and the baby. Severe headaches and visual disturbances are signs of increased blood pressure, protein in the urine, and potential organ damage. Reporting these findings promptly allows for timely intervention. Incorrect choices: A: Mild leg swelling and varicosities are common in pregnancy and typically not urgent unless accompanied by other concerning symptoms. B: Slight back pain and cramping are common discomforts in pregnancy and may not indicate a serious issue unless they are severe or persistent. D: Increased appetite and weight gain are expected during pregnancy and may not require immediate reporting unless there are other concerning symptoms present.
Question 3 of 5
The nurse is educating a pregnant patient about the symptoms of preterm labor. Which of the following symptoms should the nurse advise the patient to report immediately?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Painful, regular contractions every 10 minutes or less can indicate preterm labor. 2. Regular contractions are a sign of the uterus preparing for birth. 3. Painful contractions at regular intervals can progress quickly to preterm delivery. 4. Reporting this symptom immediately allows for timely intervention to prevent premature birth. Summary: A: Low back pain and cramping are common in pregnancy but not necessarily indicative of preterm labor. B: Increased vaginal discharge may be normal in pregnancy and not a direct sign of preterm labor. C: Painful, regular contractions every 10 minutes or less are a critical sign of preterm labor. D: Feeling pelvic pressure after physical activity is common in late pregnancy and not specific to preterm labor.
Question 4 of 5
A nurse is caring for a pregnant patient who is at 26 weeks gestation and reports a sudden decrease in fetal movement. Which action should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to drink a sugary beverage and count fetal movements. This action is appropriate as decreased fetal movement can indicate fetal distress, and the sugary beverage can stimulate the baby to move. If the baby responds with increased movements, it indicates a reassuring fetal status. If there is no improvement, further evaluation can be pursued. Incorrect choices: B: Monitoring blood pressure is not the priority in this situation as the main concern is fetal movement. C: Performing a nonstress test is not the first action to take as it requires time and resources, which may delay immediate intervention. D: While eventually contacting the healthcare provider is important, the immediate action should be to assess fetal well-being by encouraging fetal movements.
Question 5 of 5
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports nausea, vomiting, and weight loss. What is the most appropriate action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Assess the patient's hydration status and notify the healthcare provider if necessary. Rationale: 1. Nausea, vomiting, and weight loss in pregnancy may indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances. 2. Assessing hydration status is crucial to determine the severity of the condition and guide appropriate interventions. 3. Notifying the healthcare provider allows for further evaluation, possible treatment adjustments, and monitoring to prevent complications. Summary: A: Instructing the patient to eat a high-protein diet and avoid fluids during meals does not address the immediate concern of dehydration and may worsen symptoms. B: Encouraging the patient to rest and avoid exercise is important but does not address the primary issue of dehydration. D: Recommending over-the-counter anti-nausea medications may provide symptomatic relief but does not address the underlying cause or hydration status.