ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
The nurse is providing prenatal education to a pregnant patient about the signs of labor. Which of the following symptoms should the nurse instruct the patient to report immediately?
Correct Answer: C
Rationale: The correct answer is C: Regular contractions every 5 minutes for 1 hour. This is a sign of active labor and indicates that the patient should seek immediate medical attention. Contractions at this frequency and duration suggest that labor is progressing and the patient should go to the hospital. Choices A, B, and D are not indicative of active labor and do not require immediate medical attention. Feeling pressure in the lower abdomen may be a normal part of pregnancy. A bloody show or loss of the mucous plug can be early signs of labor but do not require immediate attention unless accompanied by other symptoms. A sudden increase in fetal movements is generally considered a positive sign of fetal well-being.
Question 2 of 5
A pregnant patient reports nausea and vomiting and asks the nurse about ways to manage these symptoms. Which of the following suggestions should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: Avoid foods with strong smells and eat small, frequent meals. This suggestion is appropriate as it helps manage nausea and vomiting in pregnancy. Avoiding strong smells can reduce triggers for nausea, and eating small, frequent meals helps maintain stable blood sugar levels. This approach prevents the stomach from becoming too full or too empty, which can trigger nausea. A: Eating large meals can exacerbate nausea and vomiting due to increased stomach distention. B: Taking anti-nausea medication without consulting a healthcare provider is not safe during pregnancy as it may harm the fetus. D: Lying down immediately after meals can worsen symptoms by promoting reflux and indigestion. In summary, Option C is the best choice as it addresses the symptoms of nausea and vomiting in pregnancy effectively.
Question 3 of 5
A nurse is educating a pregnant patient about the importance of folic acid supplementation. Which of the following statements by the patient indicates the need for further teaching?
Correct Answer: C
Rationale: Rationale: C is the correct answer because stopping folic acid after the first trimester is incorrect. Folic acid is crucial for the baby's neural tube development, which occurs in the early stages of pregnancy. Therefore, discontinuing supplementation after the first trimester could increase the risk of neural tube defects. Choices A, B, and D are incorrect because they emphasize the importance of folic acid in preventing birth defects and highlight the necessity of consistent supplementation throughout pregnancy for optimal benefits.
Question 4 of 5
A nurse is assessing a pregnant patient who is at 38 weeks gestation and reports a sudden decrease in fetal movement. What is the nurse's priority action?
Correct Answer: C
Rationale: The correct answer is C, performing a nonstress test and assessing fetal heart rate. This is the priority action because a sudden decrease in fetal movement at 38 weeks gestation could indicate fetal distress or potential complications. A nonstress test helps evaluate fetal well-being by monitoring the fetal heart rate in response to fetal movement. This test provides immediate information about the baby's condition and any need for further intervention. Encouraging the patient to drink a cold beverage and lie down may not be effective in this situation, as it does not address the underlying cause of decreased fetal movement. Asking the patient to monitor fetal movements for 24 hours could delay necessary intervention, and waiting until the next prenatal appointment could lead to missed opportunities for timely assessment and management of fetal distress.
Question 5 of 5
The nurse is assessing a pregnant patient who is at 14 weeks gestation and reports light vaginal bleeding. What is the nurse's priority action?
Correct Answer: B
Rationale: The correct answer is B: Call the healthcare provider immediately to assess for miscarriage. The priority action in this scenario is to promptly notify the healthcare provider to assess for potential complications like miscarriage, which could be life-threatening to the patient or fetus. This step ensures timely intervention and appropriate management. Monitoring blood pressure and urine for protein (Choice A) is important but not the immediate priority. Encouraging rest and waiting for symptoms to resolve (Choice C) may delay necessary medical intervention. Performing a pelvic exam (Choice D) could potentially worsen the situation if miscarriage is occurring. Thus, calling the healthcare provider for assessment is the most appropriate and urgent action to take in this situation.