ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.
Question 2 of 5
A pregnant patient at 34 weeks gestation is experiencing heartburn. Which of the following is the nurse's most appropriate recommendation?
Correct Answer: C
Rationale: Rationale: Option C is the most appropriate recommendation because eating small, frequent meals and avoiding spicy or greasy foods can help reduce heartburn during pregnancy. Large meals can exacerbate heartburn, so smaller meals are easier to digest. Spicy and greasy foods can also trigger heartburn. Options A, B, and D are not recommended for managing heartburn during pregnancy. Taking antacids regularly can lead to potential risks for the developing fetus. Lying down immediately after meals can worsen heartburn due to increased intra-abdominal pressure, and avoiding fluids during meals may not necessarily prevent heartburn.
Question 3 of 5
A pregnant patient is at 30 weeks gestation and is concerned about gestational diabetes. Which of the following is a key sign that the nurse should monitor for?
Correct Answer: A
Rationale: The correct answer is A: Frequent urination and excessive thirst. In gestational diabetes, the body may not be able to produce enough insulin, leading to high blood sugar levels. The excess sugar in the blood can cause increased thirst and frequent urination as the body tries to eliminate the sugar through urine. This is a key sign that the nurse should monitor for in a pregnant patient at 30 weeks gestation. Nausea and vomiting after meals (B) are more commonly associated with morning sickness in early pregnancy. Increased appetite and weight gain (C) can occur during pregnancy but are not specific signs of gestational diabetes. Fatigue and dizziness during physical activity (D) can be common in pregnancy due to hormonal changes and increased demands on the body but are not specific to gestational diabetes.
Question 4 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 5 of 5
A pregnant patient is at 24 weeks gestation and reports feeling faint and lightheaded. What should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C because getting up slowly and taking small sips of water throughout the day helps maintain blood pressure and hydration, which can improve symptoms of feeling faint and lightheaded during pregnancy. Lying down immediately (choice A) may not address the underlying issue of potential low blood pressure. Taking deep breaths and drinking a cold beverage (choice B) may not address the need for increased fluid intake and gradual position changes. Sitting upright and monitoring symptoms (choice D) may not actively address the immediate need for hydration and blood pressure management.