ATI RN
External Maternal Monitoring Questions
Question 1 of 5
What is the purpose of initiating contractions in a contraction stress test (CST)?
Correct Answer: D
Rationale: In a contraction stress test (CST), the purpose of initiating contractions is to apply a stressful stimulus to the fetus, which helps in assessing the ability of the placenta to provide adequate oxygen to the fetus during labor. This stress test is crucial in determining the fetal response to the stress of contractions, mimicking the conditions of labor. By inducing contractions, healthcare providers can evaluate the fetus's heart rate response in relation to uterine contractions, identifying potential issues such as late decelerations that may indicate fetal distress during labor. Option A, increasing placental blood flow, is incorrect because the main goal of a CST is not to enhance blood flow but to assess the fetus's response to stress. Option B, identifying fetal acceleration patterns, is incorrect as this is more related to non-stress testing rather than CST. Option C, determining the degree of fetal activity, is also incorrect as the CST focuses on evaluating the fetus's response to stress, not its overall activity level. Understanding the purpose of initiating contractions in a CST is crucial for healthcare providers involved in monitoring maternal and fetal well-being during pregnancy. It helps them make informed decisions regarding the management of labor and delivery, ensuring the best possible outcomes for both the mother and the baby.
Question 2 of 5
A woman whose prenatal weight was 105 lb weighs 109 lb at her 12-week visit. Which of the following comments by the nurse is appropriate at this time?
Correct Answer: D
Rationale: The correct answer is D: "Your weight gain is exactly what we would expect it to be at this time." Explanation: At 12 weeks of pregnancy, a woman is expected to have gained around 1-4 pounds. In this case, the woman has gained 4 pounds, which falls within the expected range. This weight gain is considered appropriate as it reflects healthy fetal growth and maternal weight gain. Option A is incorrect because weight gain can vary among individuals, and there is not a strict rule of 1 lb per week for every woman. Option B is incorrect because weight gain during the first trimester can vary, and suggesting a reduction in dessert consumption is not appropriate without further assessment. Option C is incorrect because assuming the woman is not getting adequate nutrients solely based on her starting weight is not evidence-based. Educational Context: It is essential for healthcare providers, especially nurses, to understand the normal weight gain patterns during pregnancy to provide appropriate guidance and support to pregnant women. Monitoring weight gain is crucial for assessing maternal and fetal well-being. Educating women about healthy weight gain and nutritional needs during pregnancy is vital to promote optimal outcomes for both the mother and the baby.
Question 3 of 5
A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?
Correct Answer: C
Rationale: The correct answer is option C: "How do you feel about the results?" This response is appropriate because it focuses on the client's emotional well-being and allows her to express her feelings freely. This open-ended question encourages dialogue and shows empathy towards the client during this significant moment. Option A, "Congratulations, you and your family must be so happy," is inappropriate because assuming the client's emotions and family dynamics may not be accurate or sensitive to the client's individual situation. Option B, "Have you told the baby’s father yet?" is premature and invasive, as the client may not have made decisions about sharing the news. Option D, "Please tell me when your last menstrual period was," is irrelevant at this moment as the focus should be on emotional support rather than medical history. In an educational context, it is crucial for nurses to prioritize the emotional well-being of clients, especially in sensitive situations like pregnancy confirmation. By asking open-ended questions and actively listening to clients, nurses can provide better support and build trusting relationships with those under their care.
Question 4 of 5
Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.
Correct Answer: A
Rationale: In this scenario, the correct answer is option A) Body mass index of 17 kg/m². This finding is crucial to highlight to the nurse midwife because a low body mass index (BMI) in pregnancy, especially at 8 weeks of gestation, can indicate potential issues with maternal nutrition and overall health. Adequate maternal nutrition is essential for the health and development of the fetus. A low BMI can increase the risk of complications such as intrauterine growth restriction and preterm birth. Option B) Rubella titer of 1:8 is not typically a concern at 8 weeks of gestation unless the titer is significantly higher, indicating a lack of immunity to rubella, which could pose a risk to the fetus. Option C) Blood pressure of 100/60 mm Hg is within the normal range for pregnancy and does not raise immediate concerns. Option D) Hematocrit of 30% is also within the acceptable range for pregnancy and does not require immediate attention. Educationally, it is important for nurses to understand the significance of various assessments in maternal monitoring during pregnancy. Highlighting the importance of BMI in pregnancy can help nurses recognize the impact of maternal nutrition on fetal development and overall pregnancy outcomes. This knowledge is crucial for providing effective prenatal care and promoting positive maternal and fetal health.
Question 5 of 5
A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurse’s best response?
Correct Answer: D
Rationale: The correct answer is D) You can take acetaminophen because it is a category 'B' medicine. Acetaminophen is considered safe for use during pregnancy when used as directed. It is classified as a category B medication, indicating no risk to the fetus in controlled studies. This response is best as it provides a safe and appropriate option for the client's headache. Option A is incorrect as it instills unnecessary fear and does not provide a specific recommendation. Option B is incorrect as not all over-the-counter medications are safe during pregnancy, and some may pose risks to the developing fetus. Option C is incorrect as category X medications are contraindicated during pregnancy due to their known risks to the fetus. In an educational context, it is crucial for healthcare providers to have a sound understanding of medication safety during pregnancy to provide accurate guidance to pregnant clients. This scenario highlights the importance of knowing pregnancy categories and recommending safe options for common complaints like headaches. Proper education ensures the well-being of both the mother and the developing fetus.