ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
The nurse is educating a pregnant patient about the symptoms of preterm labor. Which of the following symptoms should the nurse advise the patient to report immediately?
Correct Answer: C
Rationale: Step-by-step rationale: 1. Painful, regular contractions every 10 minutes or less can indicate preterm labor. 2. Regular contractions are a sign of the uterus preparing for birth. 3. Painful contractions at regular intervals can progress quickly to preterm delivery. 4. Reporting this symptom immediately allows for timely intervention to prevent premature birth. Summary: A: Low back pain and cramping are common in pregnancy but not necessarily indicative of preterm labor. B: Increased vaginal discharge may be normal in pregnancy and not a direct sign of preterm labor. C: Painful, regular contractions every 10 minutes or less are a critical sign of preterm labor. D: Feeling pelvic pressure after physical activity is common in late pregnancy and not specific to preterm labor.
Question 2 of 5
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports nausea, vomiting, and weight loss. What is the most appropriate action for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Assess the patient's hydration status and notify the healthcare provider if necessary. Rationale: 1. Nausea, vomiting, and weight loss in pregnancy may indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances. 2. Assessing hydration status is crucial to determine the severity of the condition and guide appropriate interventions. 3. Notifying the healthcare provider allows for further evaluation, possible treatment adjustments, and monitoring to prevent complications. Summary: A: Instructing the patient to eat a high-protein diet and avoid fluids during meals does not address the immediate concern of dehydration and may worsen symptoms. B: Encouraging the patient to rest and avoid exercise is important but does not address the primary issue of dehydration. D: Recommending over-the-counter anti-nausea medications may provide symptomatic relief but does not address the underlying cause or hydration status.
Question 3 of 5
The nurse is caring for a pregnant patient who is at 30 weeks gestation and has been diagnosed with gestational diabetes. Which of the following is the most important aspect of the patient's care plan?
Correct Answer: B
Rationale: The correct answer is B: Monitoring blood glucose levels and maintaining a balanced diet. This is the most important aspect of care for a pregnant patient with gestational diabetes because it helps control blood sugar levels, reducing the risk of complications for both the mother and the baby. Monitoring blood glucose levels ensures that the patient's blood sugar remains within the target range, while maintaining a balanced diet helps provide essential nutrients without causing spikes in blood sugar levels. A: Maintaining a healthy weight gain during pregnancy is important but not as crucial as monitoring blood glucose levels for a patient with gestational diabetes. C: Increasing fluid intake is important for overall health during pregnancy, but it is not the most critical aspect of care for a patient with gestational diabetes. D: Administering insulin may be necessary in some cases, but it is not the most important aspect of care compared to monitoring blood glucose levels and maintaining a balanced diet.
Question 4 of 5
The nurse is assessing a pregnant patient who is 30 weeks gestation and is concerned about the possibility of gestational diabetes. Which of the following symptoms should the nurse educate the patient to report?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and frequent urination. This is because these symptoms are indicative of hyperglycemia, which is common in gestational diabetes. Increased thirst occurs due to the body trying to flush out excess sugar through urine, leading to frequent urination. This should be reported to the healthcare provider for further evaluation and management. Other choices are incorrect: B: Sudden weight loss and increased energy are not typical symptoms of gestational diabetes. Weight loss can occur in uncontrolled diabetes, but it is not a common symptom in gestational diabetes. C: Extreme fatigue and headaches can be non-specific symptoms and are not necessarily related to gestational diabetes. D: Decreased fetal movement and nausea are more commonly associated with other complications in pregnancy, such as placental insufficiency or preeclampsia, rather than gestational diabetes.
Question 5 of 5
A pregnant patient is 28 weeks gestation and reports feeling nauseated. What is the nurse's priority intervention?
Correct Answer: C
Rationale: The correct answer is C: Encourage the patient to eat smaller, more frequent meals. This is the priority intervention because nausea during pregnancy, especially in the second trimester, is common and can be alleviated by eating smaller, more frequent meals to prevent fluctuations in blood sugar levels. Ginger tea (A) may help with nausea, but ensuring proper nutrition through small, frequent meals is the priority. Recommending larger meals (B) can worsen nausea due to increased stomach distention. Instructing the patient to avoid all foods and drinks (D) is not appropriate as it can lead to dehydration and nutrient deficiencies.