ATI RN
Maternal Monitoring Questions
Question 1 of 5
The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?
Correct Answer: A
Rationale: In early pregnancy, the presence of a fetal heart rate via Doppler is the most definitive sign that a woman is positively pregnant. This is because the detection of a fetal heartbeat directly confirms the presence of a developing embryo or fetus within the uterus. Option A is correct because it provides direct evidence of the presence of the fetus, making it the most reliable indicator of pregnancy among the options given. Option B, a positive pregnancy test, detects the presence of human chorionic gonadotropin (hCG) hormone in the woman's urine or blood, which indicates pregnancy but does not definitively confirm the presence of a developing fetus. Options C and D, Chadwick's sign and Montgomery gland enlargements, respectively, are physical changes that occur in early pregnancy due to increased blood flow and hormonal changes, but they are not as definitive as detecting a fetal heartbeat. Educationally, understanding the various signs and symptoms of pregnancy is crucial for healthcare professionals, especially nurses, involved in maternal monitoring. This knowledge helps them accurately assess and provide care for pregnant clients, ensuring optimal outcomes for both the mother and the developing fetus.
Question 2 of 5
A woman in her third trimester advises the nurse that she wishes to breastfeed her baby, 'but I don’t think my nipples are right.' Upon examination, the nurse notes that the client has inverted nipples. Which of the following actions should the nurse take at this time?
Correct Answer: B
Rationale: In this scenario, the correct action for the nurse to take is to refer the client to a lactation consultant for advice (Option B). This is the best course of action because lactation consultants are specifically trained to provide guidance and support for breastfeeding mothers facing challenges, such as inverted nipples. Option A is incorrect because it is not up to the nurse to definitively state that the client will be unable to breastfeed. Breastfeeding is a complex process, and many women with inverted nipples can breastfeed successfully with proper support and techniques. Option C is incorrect as there is no immediate need to notify the labor room about the client's inverted nipples. This issue can be addressed post-delivery with appropriate support. Option D is incorrect because simply teaching exercises to exert the nipples may not be effective or sufficient in addressing the concerns related to inverted nipples when it comes to breastfeeding. In an educational context, it is crucial for nurses to understand the importance of providing evidence-based care and support to breastfeeding mothers. Referring the client to a lactation consultant empowers the mother to receive specialized help and increases the likelihood of successful breastfeeding despite anatomical challenges. Nurses should be knowledgeable about resources available to support breastfeeding mothers and work collaboratively with other healthcare professionals to ensure optimal outcomes for both the mother and baby.
Question 3 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 pharmacology, understanding maternal monitoring during pregnancy is crucial for nurses to provide optimal care. In this scenario, the correct answer is A) Anemia for a 34-week gestation client. Anemia is a common condition in pregnancy due to an increase in plasma volume that outpaces the increase in red blood cell mass, leading to a dilutional effect. Therefore, it is considered a normal finding in pregnancy, especially in the third trimester. Option B) Thrombocytopenia, a decrease in platelet count, is not a normal finding in pregnancy and can pose risks for bleeding complications during childbirth. Option C) Polycythemia, an elevated red blood cell count, is not expected in a 34-week gestation client and can indicate underlying issues such as dehydration or heart/lung problems. Option D) Hyperbilirubinemia, an increase in bilirubin levels, is not a typical finding in a 34-week gestation client and can be a sign of liver or blood disorders. Educationally, nurses must be able to interpret laboratory reports accurately to provide appropriate care and interventions for pregnant clients. Understanding the normal physiological changes in pregnancy and differentiating them from abnormal findings is essential for ensuring the well-being of both the mother and the fetus.
Question 4 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 option A) "My husband is ready for the pregnancy to end so that we can have sex again." This response indicates a common concern during pregnancy known as paternal ambivalence, where the partner may feel disconnected or neglected due to the focus on the pregnant woman. It is crucial for healthcare providers to address such concerns and provide support and education to both partners to maintain a healthy relationship during this transformative time. Option B) "My husband has gained quite a bit of weight during this pregnancy" is incorrect as it does not address the emotional aspect of the partner's experience and focuses on a physical change instead. Option C) "My husband seems more worried about our finances now than before the pregnancy" while a valid concern, does not directly address the partner's emotional response to the pregnancy as the primary focus of the question. Option D) "My husband plays his favorite music for my belly so the baby will learn to like it" is incorrect as it reflects a positive and involved behavior rather than expressing any potential emotional struggles the partner may be experiencing. Educationally, understanding the emotional dynamics of pregnancy on both partners is essential for healthcare providers to provide holistic care. By recognizing and addressing concerns such as paternal ambivalence, providers can support the couple's relationship and overall well-being during this significant life event.
Question 5 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. During pregnancy, it is recommended that women receive the influenza vaccine to protect both themselves and their developing fetus. Influenza can lead to severe complications in pregnant women, such as pneumonia, and can also increase the risk of preterm labor and delivery. By receiving the influenza vaccine, the woman can reduce her chances of contracting the flu during pregnancy, thus safeguarding her and her baby's health. The other options (B) Mumps, (C) Rubella, and (D) Varicella are not typically administered as routine vaccines during pregnancy. Mumps, Rubella, and Varicella vaccines are usually given before pregnancy to prevent congenital infections. Administering these vaccines during pregnancy can pose risks to the developing fetus. It is important for healthcare providers to be aware of the appropriate vaccines to administer during pregnancy to ensure the safety and well-being of both the mother and the baby. Educationally, this question highlights the importance of understanding vaccination recommendations for pregnant women. It emphasizes the need for healthcare providers to be knowledgeable about which vaccines are safe and beneficial during pregnancy to protect maternal and fetal health. By identifying the correct vaccine to administer in this scenario, healthcare professionals can demonstrate their commitment to providing evidence-based care and promoting positive pregnancy outcomes.