ATI RN
Monitoring Baby During Labour Questions
Question 1 of 5
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
Correct Answer: D
Rationale: The correct answer is D: The Safe to Sleep campaign. The campaign educates parents on safe sleep practices to reduce the risk of SIDS. In this scenario, the patient's concerns regarding infant mortality and SIDS can be addressed by providing information on safe sleep practices. Choices A and B are not relevant to the patient's concerns as they pertain to advanced medical therapies. Choice C, Baby-Friendly Hospital Initiative, focuses on promoting breastfeeding support and practices, which is not directly related to addressing the patient's concerns about infant mortality and SIDS.
Question 2 of 5
The nurse is caring for a 35-year-old woman who is pregnant and has a history of hypertension. Which intervention would be most important to prevent preeclampsia?
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's weight gain and blood pressure. Monitoring weight gain and blood pressure is crucial to detect early signs of preeclampsia in pregnant women with a history of hypertension. Weight gain can indicate fluid retention, a common symptom of preeclampsia, while high blood pressure is a key indicator of the condition. By closely monitoring these parameters, the nurse can promptly identify and manage preeclampsia to prevent complications for both the mother and the baby. Incorrect choices: A: Encouraging regular physical activity and a healthy diet is important for overall health but may not directly prevent preeclampsia. C: Prescribing antihypertensive medications immediately may be necessary if blood pressure is severely elevated, but it is not the most important intervention for preventing preeclampsia. D: Avoiding prenatal visits to prevent stress is not a valid approach as regular prenatal care is essential for monitoring the pregnancy and managing any complications that may
Question 3 of 5
A pregnant woman who is 36 weeks gestation reports sudden swelling in her hands and feet, along with a headache. What should the nurse do first?
Correct Answer: B
Rationale: The correct answer is B. Assessing the patient's blood pressure and urine for protein is the priority because sudden swelling in hands and feet, along with a headache, could indicate preeclampsia, a serious condition in pregnancy. High blood pressure and protein in the urine are key indicators of preeclampsia. This assessment will help determine if the patient needs immediate medical intervention. Choice A is incorrect because simply resting and elevating the feet may not address the underlying issue of preeclampsia. Choice C is incorrect as encouraging the patient to drink fluids will not address the potential serious condition. Choice D is incorrect because while lying on the left side can improve circulation, it does not address the urgent need to assess for preeclampsia.
Question 4 of 5
The nurse is caring for a pregnant patient who is complaining of frequent heartburn. Which of the following suggestions would be most helpful for managing heartburn during pregnancy?
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This suggestion helps manage heartburn during pregnancy by preventing large meals that can put pressure on the stomach and lead to acid reflux. Eating smaller, more frequent meals helps maintain stable digestion and minimizes the likelihood of triggering heartburn episodes. A: Lie down immediately after meals is incorrect because it can worsen heartburn by allowing stomach acid to flow back into the esophagus. C: Drinking large amounts of water after meals can dilute stomach acid, but it may also distend the stomach and exacerbate heartburn symptoms. D: Increasing intake of spicy foods can aggravate heartburn due to the potential for irritating the stomach lining and increasing acid production.
Question 5 of 5
The nurse is caring for a 32-year-old pregnant patient who is 20 weeks gestation and has a BMI of 40. Which of the following conditions should the nurse monitor for more closely?
Correct Answer: A
Rationale: The correct answer is A: Gestational diabetes and preeclampsia. A BMI of 40 indicates obesity, which increases the risk of developing gestational diabetes and preeclampsia. Obesity is a significant risk factor for these conditions due to the increased strain on the body during pregnancy. Gestational diabetes can lead to complications for both the mother and the baby, while preeclampsia can be life-threatening if not managed properly. Monitoring for these conditions closely is crucial in this high-risk patient. Incorrect Choices: B: Hyperemesis gravidarum - This condition is characterized by severe nausea and vomiting during pregnancy and is not directly related to the patient's BMI. C: Iron-deficiency anemia - While obesity can impact iron levels, it is not the primary concern in this scenario. D: Intrauterine growth restriction (IUGR) - While obesity can increase the risk of certain pregnancy complications, IUGR is not directly linked to the patient's