ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
The nurse is caring for a pregnant patient who is 24 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: Administer antibiotics as prescribed. The priority is to treat the UTI to prevent potential harm to the patient and fetus. Antibiotics are necessary to eliminate the infection and reduce the risk of complications. Encouraging cranberry juice (B) may be beneficial for prevention but is not sufficient to treat an existing UTI. Providing education about preterm labor signs (C) is important but addressing the infection is the immediate concern. Scheduling a follow-up ultrasound (D) may be necessary later but does not address the urgent need to treat the UTI.
Question 2 of 5
A pregnant patient at 34 weeks gestation reports sudden swelling of the hands, feet, and face. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Monitor the patient's blood pressure and check for signs of preeclampsia. Rationale: 1. Sudden swelling of the hands, feet, and face in a pregnant patient at 34 weeks gestation can be a sign of preeclampsia. 2. Preeclampsia is a serious condition characterized by high blood pressure and protein in the urine, which can lead to complications for both the mother and the baby. 3. Monitoring the patient's blood pressure and checking for signs of preeclampsia is crucial for early detection and management of the condition. 4. Prompt intervention is necessary to prevent potential severe outcomes such as seizures, stroke, or organ damage. Summary of Incorrect Choices: B: Elevating the legs may provide temporary relief but does not address the underlying cause of the sudden swelling, which could be preeclampsia. C: Administering diuretics without assessing the patient's blood pressure and ruling out
Question 3 of 5
A nurse is caring for a pregnant patient who is 24 weeks gestation and has been diagnosed with anemia. What should the nurse teach the patient about managing this condition?
Correct Answer: A
Rationale: The correct answer is A because increasing iron-rich foods and taking iron supplements as prescribed is the standard treatment for managing anemia during pregnancy. Iron is essential for red blood cell production, which is crucial for both the mother and the developing fetus. Resting frequently (choice B) may help with fatigue but does not address the root cause of anemia. Limiting dairy intake (choice C) is not necessary and may lead to other nutritional deficiencies. Incorporating vitamin D-rich foods (choice D) can be beneficial for overall health but does not specifically address the management of anemia.
Question 4 of 5
The nurse is caring for a pregnant patient who is at 36 weeks gestation and reports severe lower back pain. What should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B because engaging in light physical activity and maintaining good posture can help alleviate lower back pain during pregnancy by strengthening muscles and improving circulation. Resting may worsen the pain. Applying heat or cold packs may provide temporary relief but does not address the underlying issue. Lying flat on her back for extended periods can lead to decreased blood flow to the uterus and potentially harm the baby.
Question 5 of 5
A pregnant patient is at 32 weeks gestation and reports swelling of the feet and legs. What is the most appropriate recommendation for the nurse to make?
Correct Answer: B
Rationale: The correct answer is B. Elevating the legs and avoiding prolonged standing is the most appropriate recommendation for a pregnant patient experiencing swelling at 32 weeks gestation. Elevating the legs helps to reduce swelling by aiding in venous return and reducing fluid accumulation in the lower extremities. Prolonged standing can worsen swelling due to increased pressure on the veins. Limiting fluid intake (choice A) may lead to dehydration and is not recommended during pregnancy. Applying compression stockings (choice C) may help improve circulation but may not address the underlying cause of swelling. Resting in bed with feet elevated at all times (choice D) is excessive and may not be practical for the patient.