ATI RN
External Maternal Monitoring Questions
Question 1 of 5
The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following?
Correct Answer: A
Rationale: The correct answer is A: "My child may be at increased risk for birth injury." This is correct because a pregnant patient with a BMI of 33 is considered obese, which can increase the risk of birth injury to the baby due to complications such as macrosomia (large birth weight). Explanation: 1. Obesity in pregnancy can lead to complications such as macrosomia, shoulder dystocia, and birth trauma. 2. Higher BMI can also increase the risk of cesarean delivery, which may be necessary to prevent birth injuries. 3. Childhood diabetes risk is not decreased with maternal obesity. 4. Mode of delivery (vaginal or cesarean) is not solely determined by BMI. 5. Gestational hypertension risk is actually higher in women with obesity. In summary, choice A is correct because it directly relates to the increased risk of birth injury associated with maternal obesity, while the other choices are not directly linked to the patient's BMI and pregnancy complications.
Question 2 of 5
The nurse is assessing a pregnant patient in the second trimester who is complaining of leg cramps. Which of the following interventions is most appropriate?
Correct Answer: B
Rationale: The correct answer is B. Elevating her legs while resting helps improve circulation and reduce the risk of leg cramps in pregnant patients. This position promotes blood flow and reduces the pressure on the blood vessels. Choices A and D do not directly address improving circulation or reducing pressure on blood vessels. Choice C, while beneficial in general, may not provide immediate relief for the current leg cramps. Therefore, elevating the legs while resting is the most appropriate intervention for the pregnant patient experiencing leg cramps in the second trimester.
Question 3 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 4 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 5 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.