ATI RN
Atrium Health Womens Care Maternal Fetal Monitoring Questions
Question 1 of 5
What alternative vitamin C source should the nurse suggest?
Correct Answer: B
Rationale: In the context of maternal fetal monitoring, it is crucial for pregnant individuals to maintain adequate levels of vitamin C for optimal health and fetal development. The correct answer, option B - strawberries and potatoes, is the most appropriate alternative vitamin C source to suggest. Strawberries and potatoes are rich sources of vitamin C, which is essential for collagen synthesis, iron absorption, and immune function, all of which are important during pregnancy. Option A - barley and brown rice, while nutritious, are not significant sources of vitamin C. Option C - buckwheat and lentils, and Option D - wheat flour and figs, also do not contain high levels of vitamin C compared to strawberries and potatoes. Educationally, this question highlights the importance of nutrition during pregnancy and the specific need for vitamin C. Nurses play a vital role in educating pregnant individuals on maintaining a well-balanced diet to support maternal and fetal health. By understanding the best sources of essential nutrients like vitamin C, nurses can empower their patients to make informed dietary choices that promote a healthy pregnancy.
Question 2 of 5
The nurse is reading an article that states that the maternal mortality rate in the United States in the year 2000 was 17. Which of the following statements would be an accurate interpretation of the statement?
Correct Answer: A
Rationale: Maternal mortality rates are typically expressed as the number of maternal deaths per 100,000 live births. This metric focuses specifically on deaths related to pregnancy or childbirth complications among women who have given birth, making option A the correct choice. Options B, C, and D refer to broader populations or less relevant denominators, which do not align with standard definitions of maternal mortality rates.
Question 3 of 5
Which is an opioid medication administered by the intrathecal or epidural route that can provide prolonged pain relief but does not interfere with movement or sensation?
Correct Answer: B
Rationale: The correct answer is B: Preservative-free morphine (Duramorph). When administered intrathecally or epidurally, preservative-free morphine can provide prolonged pain relief by acting on opioid receptors in the spinal cord without affecting movement or sensation due to its selective action at the spinal level. Meperidine (A) is not commonly used for epidural or intrathecal administration. Fentanyl (C) and remifentanil (D) are potent opioids that may affect movement and sensation when administered via these routes.
Question 4 of 5
The patient who has received a dose of preservative- free morphine (Duramorph) is beginning to experience pruritus. Which medication is used to treat this?
Correct Answer: B
Rationale: The correct answer is B: Diphenhydramine. Pruritus is a common side effect of opioid medications like morphine. Diphenhydramine, an antihistamine, can help relieve itching. Low-dose naloxone infusion (A) is used for opioid overdose, not pruritus. Dilaudid (C) and Sublimaze (D) are other opioid medications similar to morphine, and using them would not address the pruritus. Diphenhydramine is the most appropriate choice to alleviate the itching without interfering with the pain relief provided by the morphine.
Question 5 of 5
A patient in labor is undergoing an epidural block and develops hypotension. What should the nurse do first?
Correct Answer: A
Rationale: The correct first action is to increase intravenous fluids (Choice A). This will help improve the patient's blood volume and subsequently increase blood pressure. Trendelenburg position (Choice B) is not recommended due to potential complications. Administering oxygen (Choice C) may be helpful but doesn't directly address the hypotension. Notifying the physician (Choice D) is important but addressing hypotension promptly is the priority. Increasing fluids helps address the underlying cause of hypotension in this scenario.