ATI RN
External Maternal Monitoring Questions
Question 1 of 5
The nurse is caring for a pregnant patient who is 22 weeks gestation and is concerned about her weight gain. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: Correct Answer: C - "I can eat for two during my pregnancy to ensure the baby's growth." Rationale: 1. Eating for two is a common misconception; the pregnant woman only needs an additional 300-500 calories per day. 2. Overeating can lead to excessive weight gain which may pose risks to both the mother and the baby. 3. The statement does not reflect an accurate understanding of healthy nutrition during pregnancy. Summary of Incorrect Choices: A: Choosing to gain 1 to 2 pounds per week aligns with healthy weight gain during pregnancy. B: Avoiding excessive food intake is an appropriate strategy to prevent excessive weight gain. D: Maintaining a healthy diet and regular exercise are essential for supporting a healthy pregnancy.
Question 2 of 5
A pregnant patient is at 34 weeks gestation and reports persistent lower back pain and difficulty sleeping. What is the nurse's best recommendation for this patient?
Correct Answer: B
Rationale: The correct answer is B: Use a firm mattress and avoid sleeping on the back. This recommendation is appropriate because during pregnancy, the weight of the uterus can compress blood vessels when lying on the back, causing back pain and affecting circulation. Using a firm mattress can provide better support for the back, relieving discomfort. Avoiding sleeping on the back reduces the risk of decreased blood flow to the fetus. A: Rest in bed and avoid any physical activity is incorrect because it can lead to muscle stiffness and worsen back pain. C: Taking over-the-counter pain medications may provide temporary relief but does not address the root cause of the discomfort. D: Applying heat to the back and practicing good posture are helpful strategies, but avoiding sleeping on the back is more crucial to alleviate the symptoms in this case.
Question 3 of 5
A pregnant patient at 26 weeks gestation reports frequent headaches and blurred vision. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's blood pressure and check for signs of preeclampsia. At 26 weeks gestation, headaches and blurred vision could be symptoms of preeclampsia, a serious condition in pregnancy. Monitoring blood pressure is crucial as high blood pressure is a key indicator. Preeclampsia can lead to severe complications for both the mother and baby if left untreated. Encouraging over-the-counter pain medication (Choice A) may mask symptoms without addressing the underlying cause. Rest and hydration (Choice C) are important, but immediate evaluation for preeclampsia is necessary. Scheduling a follow-up appointment (Choice D) delays potential diagnosis and treatment.
Question 4 of 5
A pregnant patient is at 34 weeks gestation and reports frequent headaches and visual changes. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A. At 34 weeks gestation, headaches and visual changes can be signs of preeclampsia, a serious pregnancy complication. The nurse should first monitor the patient's blood pressure as elevated BP is a key indicator of preeclampsia. Assessing for other signs like proteinuria and edema is crucial for early detection and timely intervention. Encouraging rest and fluids (choice B) may not address the underlying issue. Administering pain medication (choice C) only masks symptoms without addressing the potential serious condition. Scheduling an eye specialist appointment (choice D) is not the priority as the symptoms are more indicative of a systemic issue like preeclampsia.
Question 5 of 5
The nurse is providing prenatal education to a pregnant patient at 24 weeks gestation. Which of the following topics should the nurse prioritize during this visit?
Correct Answer: A
Rationale: The correct answer is A: Signs and symptoms of preterm labor and when to call the healthcare provider. This is the most crucial topic to prioritize at 24 weeks gestation because preterm labor can have serious consequences for both the mother and the baby. By educating the patient on the signs and symptoms of preterm labor, such as abdominal cramping, backache, or vaginal bleeding, the nurse can empower the patient to recognize these warning signs early and seek prompt medical attention, potentially preventing preterm birth. Choice B: Breastfeeding techniques and infant care, and Choice C: Postpartum care and family planning options are important topics but are more relevant for later stages of pregnancy or after delivery. Choice D: Managing pregnancy-related fatigue and morning sickness is also important but is generally not as urgent as being aware of signs of preterm labor.