ATI RN
Maternal Monitoring Questions
Question 1 of 5
The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement?
Correct Answer: B
Rationale: In this scenario, the correct answer is B) The nurse midwife felt the baby rebound after being pushed. Ballottement is a technique used in obstetrics to assess fetal movement. When the nurse midwife pushes on the mother's abdomen and then feels a rebound movement, this indicates that the fetus is floating in the amniotic fluid and can be pushed back and forth. This finding is significant as it confirms the presence of a live fetus and helps in assessing fetal well-being. Option A) The nurse midwife saw that the mucous plug was intact is incorrect because ballottement does not involve the assessment of the mucous plug. Option C) The nurse midwife palpated the fetal parts through the uterine wall is incorrect as it describes a different technique called palpation, not ballottement. Option D) The nurse midwife assessed that the baby is head down is incorrect because ballottement does not provide information about the baby's position in the uterus. Educationally, understanding the concept of ballottement is crucial for healthcare professionals working in obstetrics as it aids in assessing fetal well-being and confirming pregnancy. It is essential for nurses and midwives to be able to differentiate between various techniques used in prenatal monitoring to provide accurate care to pregnant clients.
Question 2 of 5
Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?
Correct Answer: A
Rationale: In a 34-week gestation client, the nurse would view polycythemia as a normal finding when evaluating laboratory reports. Polycythemia is an expected physiological response in a fetus due to intrauterine hypoxia, which stimulates increased red blood cell production. This condition helps the fetus compensate for potential oxygen deprivation during birth. Therefore, it is considered a normal finding in a 34-week gestation client. Anemia (Option A) would not be considered normal in this context because it indicates a deficiency in red blood cells, which can lead to inadequate oxygen delivery to the fetus. Thrombocytopenia (Option B) is a low platelet count and can lead to bleeding issues in the mother or fetus. Hyperbilirubinemia (Option D) is an excess of bilirubin in the blood, which can indicate liver or other underlying issues in the mother or fetus. Understanding normal physiological changes during pregnancy and how they can impact laboratory values is crucial for nurses caring for pregnant clients. By recognizing what is normal and abnormal, nurses can intervene promptly to ensure the well-being of both the mother and the fetus.
Question 3 of 5
The nurse asks a woman about how the woman’s husband is dealing with the pregnancy.
Correct Answer: A
Rationale: The correct answer is A) "My husband is ready for the pregnancy to end so that we can have sex again." This response indicates a concern related to the woman's husband's readiness for the pregnancy to progress, which is essential for monitoring the couple's relationship dynamics and potential stressors. Option B) "My husband has gained quite a bit of weight during this pregnancy" is incorrect as it focuses on the husband's physical changes rather than his emotional response to the pregnancy, which is more crucial for assessment. Option C) "My husband seems more worried about our finances now than before the pregnancy" is incorrect as it addresses financial concerns rather than the husband's emotional adjustment to the pregnancy. Option D) "My husband plays his favorite music for my belly so the baby will learn to like it" is incorrect as it pertains to a supportive behavior rather than the husband's personal feelings and readiness for the pregnancy to progress. Educationally, understanding the emotional responses of both partners during pregnancy is vital for providing comprehensive care. Monitoring the husband's reactions can offer insights into potential stressors or support needs within the relationship, ultimately impacting the overall well-being of the mother and the developing fetus.
Question 4 of 5
A gravid woman who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Influenza. The rationale behind administering the influenza vaccine during pregnancy is to protect both the mother and her developing fetus from potential complications of influenza infection. Pregnant women are at an increased risk of severe illness from influenza due to changes in their immune, heart, and lung functions during pregnancy. By receiving the influenza vaccine, the woman can reduce her risk of contracting the virus and potentially experiencing serious complications. The other options (B) Mumps, (C) Rubella, and (D) Varicella are not the recommended vaccines for this situation. Mumps, rubella, and varicella are live attenuated vaccines that are contraindicated during pregnancy due to the potential risk of transmitting the live virus to the fetus, which can have harmful effects. These vaccines are typically administered postpartum if the woman is not immune. In an educational context, it is crucial for healthcare providers to understand the rationale behind administering specific vaccines during pregnancy to provide optimal care for pregnant women. By comprehending the risks and benefits of vaccination, providers can effectively communicate with patients about the importance of immunization to protect both maternal and fetal health. It is essential to follow evidence-based guidelines and recommendations to ensure the safety and well-being of pregnant women and their babies.
Question 5 of 5
A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? Select all that apply.
Correct Answer: D
Rationale: In the context of maternal monitoring during pregnancy, it is crucial for healthcare providers to educate pregnant women about potential danger signs that warrant immediate medical attention. In this scenario, the correct answer is D) Persistent vomiting. Persistent vomiting in pregnancy can be a sign of conditions like hyperemesis gravidarum, a severe form of nausea and vomiting that can lead to dehydration, electrolyte imbalances, and weight loss, endangering both the mother and the developing fetus. Therefore, prompt medical evaluation and intervention are necessary to prevent complications. Regarding the incorrect options: A) Convulsions: While convulsions are a serious medical emergency, in the context of pregnancy, persistent vomiting is a more specific indicator of potential complications related to the pregnancy itself. B) Double vision: Although double vision can be concerning, it is not as directly linked to pregnancy-related complications as persistent vomiting. C) Epigastric pain: While epigastric pain can be a symptom of certain conditions like preeclampsia, persistent vomiting is a more specific and direct danger sign in the context of maternal monitoring during pregnancy. Educationally, understanding these danger signs and their implications helps pregnant women make informed decisions about seeking medical help promptly, contributing to better maternal and fetal outcomes. Healthcare providers play a crucial role in empowering pregnant women with this knowledge to promote their health and well-being during pregnancy.