ATI RN
Advanced Maternal Age Monitoring Questions
Question 1 of 5
What alternative could the nurse suggest to someone practicing pica?
Correct Answer: B
Rationale: In the context of advanced maternal age monitoring, it is crucial for nurses to be knowledgeable about potential complications and interventions, including addressing issues like pica. Pica is a condition characterized by cravings for non-nutritive substances like ice, soil, or starch, which can be harmful during pregnancy. The correct answer, B) Replace ice with frozen fruit juice, is the most appropriate alternative to suggest to someone practicing pica. Frozen fruit juice can satisfy the desire for something cold and crunchy like ice, while also providing some nutritional value from the fruit juice. This substitution helps address the underlying craving while offering a safer and more nutritious option. Option A) Replace laundry starch with salt is not a suitable alternative as salt does not address the textural or nutritional aspects of the craving for laundry starch. Option C) Replace soap with cream cheese and Option D) Replace soil with uncooked pie crust are also incorrect as they do not provide appropriate substitutes that address the underlying cravings associated with pica. Educationally, this question highlights the importance of understanding pica in pregnant individuals, the potential risks associated with it, and the role of nurses in providing appropriate alternatives to address cravings in a safe and healthy manner during pregnancy. Nurses play a vital role in educating and supporting pregnant individuals in making positive choices for their health and the health of their baby.
Question 2 of 5
A woman delivers a fetal demise that has lanugo covering the entire body, nails that are present on the fingers and toes, but eyes that are still fused. Prior to the death, the mother stated that she had felt quickening. Based on this information, the nurse knows that the baby is about how many weeks’ gestation?
Correct Answer: B
Rationale: Lanugo typically appears around 16-20 weeks and covers the entire body by 22-24 weeks. Nails begin forming at around 18-20 weeks and are fully developed by 22 weeks. Fused eyelids occur up until about 24-26 weeks, after which they open. Quickening (feeling of fetal movement) usually occurs between 18-22 weeks in first-time pregnancies. Therefore, the most likely gestational age is 22 weeks.
Question 3 of 5
Which is an expected characteristic of amniotic fluid?
Correct Answer: B
Rationale: The correct answer is B: Clear, with small white particles. Amniotic fluid is typically clear with small white particles, representing vernix caseosa. Vernix caseosa is a white, cheese-like substance that covers the skin of the fetus. It helps protect the skin and regulate body temperature. The presence of vernix particles in amniotic fluid is a normal and expected characteristic. Incorrect choices: A: Deep yellow color - Amniotic fluid is usually clear or slightly straw-colored. A deep yellow color may indicate the presence of meconium, which suggests fetal distress. C: Nitrazine test: acidic result - Amniotic fluid is normally alkaline, not acidic. An acidic result may indicate infection. D: Absence of ferning - Ferning is a characteristic pattern seen under a microscope in dried cervical mucus, not amniotic fluid. Absence of ferning in amniotic fluid is not a relevant characteristic.
Question 4 of 5
A patient in labor is undergoing an epidural block and is given intravenous fluid. What is the purpose of this?
Correct Answer: D
Rationale: The correct answer is D: To treat hypotension that results from sympathetic blockade. When an epidural block is administered during labor, sympathetic blockade can lead to a drop in blood pressure. By providing intravenous fluid, the goal is to increase preload and maintain blood pressure to counteract the hypotension caused by sympathetic blockade. A: Treating hypotension from hemorrhage is not the primary purpose in this scenario. B: Increasing urine output is not the main goal of giving intravenous fluid during an epidural block. C: Treating insensible fluid losses is not the immediate concern when a patient is experiencing hypotension from sympathetic blockade.
Question 5 of 5
Which of the following is the most appropriate nursing action for a patient who has been administered an epidural block and is now experiencing hypotension?
Correct Answer: A
Rationale: The correct answer is A: Administer a bolus of IV fluids. Hypotension after an epidural block is often due to vasodilation caused by the block. Administering IV fluids can help increase blood volume and improve blood pressure. This action is crucial in maintaining perfusion to vital organs. Choice B: Placing the patient in a Trendelenburg position can potentially worsen hypotension by increasing venous return to the heart, leading to further vasodilation and reduced blood pressure. Choice C: Administering oxygen via mask may be important in some situations but is not the primary intervention for hypotension caused by epidural block. Choice D: Raising the head of the bed slightly is not the best option for treating hypotension as it does not address the underlying cause of vasodilation and decreased blood pressure.