ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
The nurse is educating a pregnant patient about the signs of preterm labor. Which of the following should the nurse include in the teaching plan?
Correct Answer: A
Rationale: Step 1: Frequent, regular contractions every 10 minutes or less are a key sign of preterm labor, indicating the uterus is contracting and potentially dilating prematurely. Step 2: This pattern of contractions can lead to preterm delivery and requires immediate medical attention to prevent complications for both the mother and the baby. Step 3: Decreased fetal movement and back pain (Option B) are not specific signs of preterm labor but can indicate other issues that need evaluation. Step 4: Mild cramping and occasional vaginal spotting (Option C) can be normal in pregnancy and may not always indicate preterm labor. Step 5: Headaches and blurred vision (Option D) are more indicative of conditions like preeclampsia rather than preterm labor.
Question 2 of 5
A pregnant patient is 26 weeks gestation and is concerned about gaining too much weight. What is the nurse's most appropriate response?
Correct Answer: C
Rationale: The correct answer is C because excessive weight gain during pregnancy can lead to complications like gestational diabetes and preeclampsia. As the nurse, it is important to educate the patient on the risks associated with excessive weight gain. By highlighting these potential complications, the nurse can emphasize the importance of monitoring weight gain and making healthy choices. Choices A and B are incorrect as they do not address the risks of excessive weight gain. Choice D is also incorrect as it suggests limiting caloric intake, which may not provide adequate nutrition for the growing fetus. It is crucial to educate the patient on the importance of a balanced diet and healthy weight gain to promote a healthy pregnancy.
Question 3 of 5
The nurse is caring for a pregnant patient who is at 28 weeks gestation and has been diagnosed with gestational diabetes. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: The correct answer is B because educating the patient about safe exercise and nutrition practices is crucial in managing gestational diabetes. Exercise and proper nutrition help control blood glucose levels and reduce the risk of complications for both the mother and the baby. Monitoring blood glucose levels and administering insulin (choice A) are important but not the priority at this stage. Avoiding all carbohydrates (choice C) is not recommended as balanced carbohydrate intake is essential. Regular ultrasounds (choice D) are important but do not directly address managing gestational diabetes.
Question 4 of 5
A pregnant patient at 24 weeks gestation is concerned about gestational diabetes. Which of the following is the most important aspect of managing this condition?
Correct Answer: A
Rationale: The correct answer is A: Increasing physical activity and monitoring blood glucose levels. This is because physical activity helps improve insulin sensitivity and manage blood glucose levels in gestational diabetes. Monitoring blood glucose levels is essential to ensure they are within the target range for both the mother and baby's health. Administering insulin (B) may be necessary in some cases but is not the first-line approach. Eating larger meals (C) can lead to higher blood sugar levels and does not prevent hypoglycemia. Limiting fluid intake (D) is not recommended as it can lead to dehydration and does not directly impact blood sugar fluctuations.
Question 5 of 5
A pregnant patient at 32 weeks gestation reports swelling in the feet and hands. What should the nurse do first?
Correct Answer: A
Rationale: The correct answer is A: Monitor the patient's blood pressure and assess for signs of preeclampsia. At 32 weeks gestation, swelling in the feet and hands can be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. Monitoring blood pressure is crucial as elevated blood pressure is a key indicator of preeclampsia. Assessing for other signs of preeclampsia such as headache, visual disturbances, or upper abdominal pain is important for early detection and management. Prompt intervention is necessary to prevent complications for both the mother and the baby. Choices B, C, and D are incorrect because while elevation of feet, rest, hydration, and reducing sodium intake are important in managing mild swelling during pregnancy, in this case, the priority is to rule out preeclampsia which can lead to severe complications if left untreated. Assessing for blood clots or deep vein thrombosis is also important but