ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
Correct Answer: B
Rationale: In this scenario, the correct intervention based on a positive contraction stress test (CST) result is to contact the healthcare provider to discuss birth options for the patient (Option B). This is the appropriate action because a positive CST indicates that the fetus may be at risk for hypoxia during labor, and immediate communication with the healthcare provider is crucial to determine the best course of action for the well-being of both the mother and the baby. Option A is incorrect because waiting for a week to repeat the test could delay necessary interventions if the fetus is indeed experiencing distress. Option C is incorrect as sending the patient out for a meal and repeating the test is not a standard practice and could potentially endanger the fetus if distress is present. Option D is also incorrect as fetal kick counts are not a suitable assessment for addressing the concerns raised by a positive CST result. Educationally, understanding the significance of a positive CST result and the appropriate actions to take is vital for healthcare professionals working in maternal-fetal care. This knowledge ensures timely and effective interventions to safeguard the health and well-being of both the mother and the baby during labor and delivery.
Question 2 of 5
A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.
Correct Answer: A
Rationale: In the scenario presented, the correct assessment that the nurse should inform the client about during her first prenatal physical examination is option A) Pap smear. This is because a Pap smear is a standard screening test recommended for pregnant women during their first prenatal visit to check for cervical cancer or abnormalities. This test is important for early detection and management if any issues are found, ensuring the best possible outcomes for both the mother and the baby. Option B) Mammogram is not typically performed during the first prenatal visit unless there are specific risk factors or indications present. Mammograms are usually recommended for women over the age of 40 as a routine screening for breast cancer. Option C) Glucose challenge test is typically performed later in pregnancy around 24-28 weeks to screen for gestational diabetes, not during the first prenatal visit. Option D) Biophysical profile is a test that assesses the baby's well-being and is usually done in the second or third trimester, not during the initial prenatal visit. Educationally, understanding the rationale behind each assessment is crucial for nurses to provide comprehensive care to pregnant women. By knowing when and why each test is performed, nurses can educate their clients effectively, promote early detection of any issues, and ensure appropriate follow-up care. This knowledge enhances the quality of care provided and contributes to positive maternal and fetal outcomes.
Question 3 of 5
When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of?
Correct Answer: A
Rationale: In assessing the psychological adjustment of an 8-week gravida, the nurse would expect to see signs of ambivalence. Ambivalence refers to having mixed feelings or contradictory ideas about the pregnancy, which is common in early stages as the woman adjusts to the idea of becoming a mother. This uncertainty and conflicting emotions are typical during this period. Option B, depression, is less likely at this early stage of pregnancy unless there are pre-existing mental health issues. Pregnancy-induced depression typically occurs later in pregnancy or postpartum. Option C, anxiety, is common in pregnancy but may not be the primary psychological adjustment seen at 8 weeks unless it is severe or persistent. Option D, ecstasy, is not expected as extreme happiness or euphoria is not typically associated with early pregnancy, especially when considering the physical and emotional changes the woman is experiencing. Educationally, understanding the psychological aspects of pregnancy is crucial for healthcare providers to provide holistic care. Recognizing ambivalence as a common emotion early in pregnancy allows nurses to offer support, education, and counseling to help women navigate their feelings and adjust to the changes ahead. It also emphasizes the importance of non-judgmental care and creating a supportive environment for pregnant individuals.
Question 4 of 5
The nurse working in an outpatient obstetric office assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply.
Correct Answer: A
Rationale: In this scenario, option A is the correct answer that the nurse should highlight for the physician. At 17 weeks' gestation, feeling fetal movement is an important milestone in pregnancy. The absence of fetal movement could indicate a potential issue that needs further evaluation to ensure the well-being of the fetus. Option B, fundal height at the umbilicus at 24 weeks' gestation, is within the normal range for that gestational age and does not raise immediate concerns. Option C, excessive salivation at 27 weeks' gestation, is likely due to hormonal changes in pregnancy and typically does not pose a significant risk to the mother or baby. Option D, experiencing uterine cramping at 34 weeks' gestation, could be a normal part of the third trimester as the body prepares for labor. However, persistent or severe cramping would warrant further assessment. Educationally, this question highlights the importance of monitoring fetal movements as a vital sign of fetal well-being during pregnancy. It emphasizes the role of healthcare providers in recognizing deviations from normal findings and taking appropriate actions to ensure optimal outcomes for both the mother and baby. Understanding these key indicators is crucial for nurses working in obstetric settings to provide comprehensive care to pregnant clients.
Question 5 of 5
A woman states that she frequently awakens with 'painful leg cramps' during the night. Which of the following assessments should the nurse make?
Correct Answer: A
Rationale: In this scenario, the correct assessment the nurse should make is A) Dietary evaluation. Leg cramps can be caused by various factors, including electrolyte imbalances like low levels of potassium, calcium, or magnesium. By conducting a dietary evaluation, the nurse can assess the woman's intake of these essential minerals and identify any deficiencies that could be contributing to the leg cramps. Option B) Goodell’s sign and option C) Hegar’s sign are both physical assessments used in obstetrics and gynecology to evaluate cervical changes during pregnancy, which are not relevant to the woman's complaint of leg cramps. Option D) Posture evaluation is also not directly related to the issue of leg cramps upon waking. In an educational context, understanding the importance of conducting a thorough assessment is crucial for nurses to provide holistic care to their patients. By choosing the correct assessment, the nurse can address the root cause of the woman's leg cramps and provide appropriate interventions to alleviate her symptoms and improve her quality of life.