ATI RN
External Maternal Monitoring Questions
Question 1 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.
Question 2 of 5
A nurse is assessing a pregnant patient at 36 weeks gestation who complains of pain in the lower abdomen and back. The nurse finds no signs of labor. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to rest and monitor for any changes in symptoms. At 36 weeks gestation, the patient might be experiencing Braxton Hicks contractions or round ligament pain, which are common in late pregnancy. Encouraging rest allows for potential relief of discomfort. Monitoring for any changes in symptoms is essential to rule out preterm labor. Option B is incorrect as administering pain medication without identifying the cause may mask symptoms of preterm labor. Option C is incorrect as performing a pelvic exam could potentially cause harm if the patient is experiencing preterm labor. Option D is incorrect as prolonged bed rest is not recommended in pregnancy and may not alleviate the pain or address the underlying cause.
Question 3 of 5
A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports difficulty breathing, especially when lying flat. Which action should the nurse take first?
Correct Answer: A
Rationale: Step 1: Assessing the patient's respiratory rate and oxygen saturation is essential to determine the severity of the breathing difficulty. Step 2: It helps in identifying potential respiratory issues or complications that may require immediate intervention. Step 3: This data will guide the nurse in making informed decisions regarding further management and treatment. Step 4: Encouraging rest (B) may be appropriate after assessment. Administering oxygen and preparing for delivery (C) is premature without assessment. Asking the patient to lie on her left side (D) without initial assessment may delay necessary interventions.
Question 4 of 5
A pregnant patient is concerned about the safety of using over-the-counter medications for her cold symptoms. Which of the following responses is most appropriate for the nurse?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. During pregnancy, it is crucial to minimize medication use to prevent potential harm to the fetus. 2. Many OTC medications have not been extensively studied for safety in pregnancy. 3. Healthcare providers can recommend safe and effective treatment options tailored to the individual. 4. Avoiding unnecessary medication reduces the risk of adverse effects on the developing baby. Summary: A: Incorrect. Not all OTC medications are safe during pregnancy, and blanket statements can be harmful. C: Incorrect. Safety of OTC medications can vary by trimester, so blanket statements are not appropriate. D: Incorrect. Herbal remedies can also pose risks during pregnancy, and individualized guidance is necessary.
Question 5 of 5
A pregnant patient at 36 weeks gestation reports feeling short of breath when lying flat. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B because positioning the pregnant patient in a more upright position can help alleviate the shortness of breath by allowing the diaphragm to move more freely, reducing pressure on the lungs, and improving oxygenation. This action promotes optimal oxygen flow and comfort for the patient. A: Administering oxygen and preparing for delivery may be necessary in some cases but does not address the immediate need to alleviate shortness of breath caused by the supine position. C: Deep breathing exercises may not be effective in relieving shortness of breath caused by the supine position and may even exacerbate the discomfort. D: Instructing the patient to take shallow breaths and avoid exertion does not address the underlying cause of shortness of breath and may not provide adequate relief.