ATI RN
Maternal Monitoring During Labor ppt 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: Step 1: The Safe to Sleep campaign aims to educate parents on safe sleep practices to reduce the risk of SIDS. Step 2: Given the patient's concerns about infant mortality and SIDS, providing education on safe sleep practices is pertinent. Step 3: The patient had an uncomplicated pregnancy and delivery, so other interventions like ECMO or surfactant are not relevant. Step 4: The Baby-Friendly Hospital Initiative focuses on promoting breastfeeding, which is not directly related to reducing the risk of SIDS. Step 5: Therefore, explaining the Safe to Sleep campaign to the patient is the most helpful in addressing her concerns and promoting infant safety.
Question 2 of 5
A pregnant patient at 30 weeks gestation reports feeling dizzy when standing. What should the nurse instruct the patient to do?
Correct Answer: B
Rationale: The correct answer is B: Rise slowly from a sitting or lying position to avoid dizziness. This recommendation is appropriate because pregnant patients often experience dizziness due to changes in blood pressure and circulation. Rising slowly helps prevent sudden drops in blood pressure, which can lead to dizziness. Lying flat on the back can worsen dizziness by reducing blood flow to the brain. Increasing fluid intake is generally recommended during pregnancy but may not directly address the issue of dizziness. Avoiding physical activity entirely is not necessary and may not address the underlying cause of the dizziness.
Question 3 of 5
The nurse is caring for a pregnant patient who is 26 weeks gestation and has a history of gestational diabetes. Which of the following actions is most important for the nurse to monitor during this pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose levels and fetal growth. Monitoring blood glucose levels is crucial in managing gestational diabetes to prevent complications for both the mother and baby. High blood glucose levels can lead to macrosomia (excessive fetal growth). Monitoring fetal growth is important to ensure the baby is growing appropriately. Choice B is incorrect because urine protein levels and blood pressure are typically monitored for preeclampsia, not specifically for a patient with gestational diabetes. Choice C is incorrect because while maternal weight gain and diet are important factors, monitoring blood glucose levels takes precedence in managing gestational diabetes. Choice D is incorrect because while fetal heart rate and activity patterns are important, monitoring blood glucose levels is more crucial in this scenario due to the patient's history of gestational diabetes.
Question 4 of 5
The nurse is assessing a pregnant patient who is at 32 weeks gestation and is concerned about leg cramps. Which intervention should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Perform gentle stretching exercises to reduce muscle tension. Leg cramps during pregnancy are common due to increased weight and pressure on muscles. Gentle stretching exercises can help relieve tension and improve circulation, reducing the likelihood of cramps. Applying heat (choice A) can worsen swelling in pregnancy. Increasing calcium intake (choice C) can help prevent cramps but is not an immediate intervention. Lying down and elevating legs (choice D) can provide temporary relief but may not address the underlying muscle tension.
Question 5 of 5
The nurse is assessing a pregnant patient who is 30 weeks gestation and reports severe lower back pain. What is the most appropriate intervention for the nurse to recommend?
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to perform gentle stretching exercises and maintain good posture. This option promotes active management of lower back pain in pregnancy by improving muscle strength and flexibility, reducing strain on the back. Stretching exercises can help alleviate discomfort and improve posture, which are important for managing back pain during pregnancy. Option A is incorrect as lying flat on the back is contraindicated in pregnancy due to the risk of supine hypotensive syndrome. Option C is incorrect as complete bed rest is not recommended for back pain management. Option D is incorrect as over-the-counter pain medication should be used judiciously during pregnancy and is not the first-line intervention for managing back pain.