ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
The nurse is providing prenatal education to a patient who is at 20 weeks gestation. Which of the following topics should the nurse prioritize during this visit?
Correct Answer: C
Rationale: The correct answer is C: Educating about normal pregnancy changes. At 20 weeks gestation, the priority is to educate the patient about normal physiological changes she may experience during pregnancy. This knowledge helps the patient understand what is considered normal and when to seek medical attention. Managing gestational diabetes (A) is important but typically addressed later in pregnancy. Reviewing newborn care practices (B) and discussing postpartum care (D) are important topics but not a priority at 20 weeks gestation. It is essential to focus on educating the patient about the current stage of pregnancy to promote optimal prenatal care.
Question 2 of 5
The nurse is caring for a pregnant patient who has been diagnosed with iron-deficiency anemia. Which of the following should the nurse recommend to improve iron absorption?
Correct Answer: B
Rationale: The correct answer is B: Take iron supplements with a vitamin C source, such as orange juice. Vitamin C enhances iron absorption by converting non-heme iron (plant-based) into a more absorbable form. This combination increases the bioavailability of iron. Options A, C, and D are incorrect. A: Taking iron supplements with milk can decrease iron absorption due to calcium and casein in milk inhibiting iron absorption. C: Calcium-rich foods can inhibit iron absorption when taken together. D: Coffee and tea contain tannins that can inhibit iron absorption.
Question 3 of 5
The nurse is caring for a pregnant patient who is at 25 weeks gestation and is concerned about gestational diabetes. Which of the following symptoms should the nurse educate the patient to watch for?
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and frequent urination. These symptoms are indicative of gestational diabetes due to elevated blood sugar levels. Increased thirst is a result of the body trying to dilute the excess glucose through increased fluid intake, leading to frequent urination. This occurs because the kidneys work to eliminate the excess glucose from the blood by excreting it in the urine. Therefore, educating the patient to watch for these symptoms is crucial for early detection and management of gestational diabetes. Choices B, C, and D are incorrect as they do not directly correlate with the symptoms of gestational diabetes. Severe leg cramps and dizziness (Choice B) may be related to other factors such as dehydration or electrolyte imbalance. Constant fatigue and swollen feet (Choice C) could be common symptoms during pregnancy but are not specific to gestational diabetes. Shortness of breath and dizziness upon standing (Choice D) are more likely to be related to issues such as anemia or changes
Question 4 of 5
A nurse is caring for a pregnant patient who is at 16 weeks gestation and is concerned about varicose veins. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: The correct answer is B: Elevate the legs and avoid prolonged periods of standing. Elevating the legs helps improve circulation and reduces pressure on the veins, which can help alleviate varicose veins. Prolonged standing can worsen varicose veins by increasing pressure on the lower extremities. A: Wearing tight compression stockings can further constrict blood flow and should be avoided. C: Massaging the affected area may not be recommended as it can potentially increase the risk of blood clots in pregnant women. D: Applying ice packs is not recommended for varicose veins as it may not effectively address the underlying issue of poor circulation.
Question 5 of 5
The nurse is caring for a pregnant patient who is at 28 weeks gestation and has been diagnosed with a urinary tract infection (UTI). Which of the following interventions should the nurse prioritize?
Correct Answer: A
Rationale: The correct answer is A because administering antibiotics is crucial in treating a urinary tract infection (UTI) during pregnancy to prevent complications such as preterm labor or kidney infection. Antibiotics are necessary to eradicate the infection and ensure the health of both the mother and the baby. Encouraging the patient to drink cranberry juice (B) may help prevent UTIs but is not sufficient treatment for an existing infection. Teaching the patient to practice good hand hygiene (C) is important for general infection prevention but does not directly address the UTI. Performing a bladder scan (D) to check for residual urine is not a priority in this case as the focus should be on treating the infection first.