ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
The nurse is caring for a pregnant patient who is at 32 weeks gestation and reports experiencing frequent heartburn. Which of the following interventions is most appropriate for the nurse to recommend?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This intervention is appropriate because smaller, more frequent meals can help reduce the pressure on the stomach, decrease acid reflux, and alleviate heartburn symptoms in pregnant patients. By eating smaller meals, the pregnant patient can prevent the stomach from becoming overly full and reduce the likelihood of stomach acid regurgitating into the esophagus. This approach promotes better digestion, minimizes discomfort, and supports the overall well-being of the patient and the fetus. Other choices are incorrect: A: Lying down immediately after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus. C: Drinking large amounts of water after meals can further distend the stomach and exacerbate heartburn symptoms. D: Although avoiding spicy foods and taking antacids may provide temporary relief, they do not address the root cause of the issue and may not be as effective as adopting a dietary change like eating smaller, more frequent meals
Question 2 of 5
A pregnant patient at 32 weeks gestation reports occasional dizziness when standing up. What is the nurse's most appropriate recommendation?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to increase fluid intake and stand up slowly. This recommendation is appropriate because occasional dizziness when standing up can be due to postural hypotension common in pregnancy. Increasing fluid intake helps maintain blood volume, and standing up slowly prevents sudden drops in blood pressure. Choice B is incorrect as lying down immediately may not address the underlying issue. Choice C is incorrect as complete rest may not be necessary. Choice D is incorrect as rising quickly can worsen dizziness.
Question 3 of 5
A pregnant patient at 28 weeks gestation is experiencing mild back pain. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B because assessing the patient's posture and recommending appropriate exercises will help address the mild back pain effectively without compromising the safety of the pregnancy. By identifying any postural issues contributing to the pain and recommending suitable exercises, the nurse can promote musculoskeletal health and alleviate discomfort. Administering pain relief without addressing the underlying cause (choice A) may mask symptoms temporarily. Encouraging light physical activities (choice C) could worsen the pain if not tailored to the individual's needs. Instructing the patient to rest and take deep breaths (choice D) may not address the root cause of the back pain.
Question 4 of 5
A pregnant patient is at 28 weeks gestation and reports leg cramps. What is the most appropriate action for the nurse to take?
Correct Answer: A
Rationale: The correct answer is A. Leg cramps during pregnancy are common due to increased weight and pressure on leg muscles. Stretching and elevating legs can help alleviate cramps by improving circulation and reducing muscle tension. Increasing calcium intake (B) may help prevent cramps but is not the immediate action needed. Administering pain medication (C) should be avoided unless absolutely necessary. Walking (D) is beneficial for overall health during pregnancy but may not directly address the immediate leg cramps.
Question 5 of 5
A pregnant patient at 24 weeks gestation reports feeling fatigued and lightheaded. What is the nurse's first priority action?
Correct Answer: B
Rationale: The correct answer is B. Monitoring the patient's blood pressure and assessing for signs of anemia is the first priority because fatigue and lightheadedness in pregnancy can be symptoms of anemia or other serious conditions. Anemia can lead to complications for both the mother and the baby. Encouraging rest and fluids (choice A) is important but should come after ruling out any potential serious conditions. Administering iron supplements (choice C) without proper assessment can be harmful if anemia is not the cause. Instructing the patient to avoid physical activity (choice D) without proper evaluation can delay necessary interventions.