ATI RN
External Maternal Monitoring Questions
Question 1 of 5
The nurse is counseling a pregnant patient who is concerned about gestational diabetes. The patient has a family history of diabetes and is overweight. Which statement by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B because gestational diabetes can indeed cause excessive birth weight, leading to delivery complications such as shoulder dystocia and cesarean section. This is important for the patient to be aware of to ensure the health and safety of both herself and her baby. Choice A is incorrect because gestational diabetes can persist after delivery and may increase the risk of developing type 2 diabetes later in life for both the mother and the baby. Choice C is incorrect because pregnant women with gestational diabetes still need carbohydrates for proper nutrition; however, they should monitor their carbohydrate intake and choose complex carbohydrates to manage blood sugar levels. Choice D is incorrect because having gestational diabetes does increase the risk of developing type 2 diabetes later in life. It is important for the patient to understand this potential risk and take steps to manage their health accordingly.
Question 2 of 5
A nurse is caring for a pregnant patient who is 8 weeks gestation. The patient is asking about the safety of taking over-the-counter cold medications. Which response is most appropriate?
Correct Answer: B
Rationale: The correct answer is B because during pregnancy, it is essential to be cautious about medications. Choosing medications specifically labeled for pregnancy ensures safety for both the mother and the developing fetus. Choice A is incorrect because not all over-the-counter medications are safe during pregnancy. Choice C is incorrect as some cold medications are safe when used as directed. Choice D is incorrect as not all herbal remedies are proven safe for use during pregnancy. It is important to prioritize the well-being of both the mother and the baby by following healthcare provider recommendations and using medications approved for use during pregnancy.
Question 3 of 5
The nurse is providing education to a pregnant patient about diet during pregnancy. Which of the following statements indicates that the patient needs further teaching?
Correct Answer: C
Rationale: The correct answer is C because the statement "I can eat whatever I want as long as I am gaining weight steadily" indicates a misunderstanding of healthy eating during pregnancy. The rationale is that pregnancy is a crucial time for proper nutrition, and simply focusing on weight gain without considering the quality of food can lead to health risks for both the mother and the baby. Choices A, B, and D are all correct statements that promote a healthy diet during pregnancy by emphasizing the importance of nutrient-dense foods, limiting unhealthy choices, and staying hydrated.
Question 4 of 5
A pregnant patient is concerned about the use of caffeine during pregnancy. Which of the following statements by the nurse would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B. Moderate caffeine consumption is safe, but it is recommended to limit it to 200 mg per day during pregnancy. This answer is appropriate because it balances the potential risks of caffeine with the benefits of moderate consumption. Excessive caffeine intake has been associated with adverse pregnancy outcomes, so setting a limit is a prudent approach. Explanation for Incorrect Choices: A: This statement is incorrect as excessive caffeine intake during pregnancy can have negative effects on the baby. C: Complete avoidance of caffeine is not necessary unless the individual has specific health concerns that warrant it. D: While high levels of caffeine can be linked to complications, the statement that caffeine always causes premature labor is an oversimplification.
Question 5 of 5
The nurse is educating a pregnant patient about the importance of exercise during pregnancy. Which statement by the patient indicates that the teaching has been effective?
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the importance of moderate exercise during pregnancy to prepare the body for labor. This shows understanding of the benefits of exercise for both the mother and baby. Choice A is incorrect as it promotes complete avoidance of exercise, which is not recommended. Choice C is incorrect because exercise is beneficial throughout pregnancy, not just in the second trimester. Choice D is incorrect because some exercises may not be safe during pregnancy, so comfort alone is not the only factor to consider.