ATI RN
Maternal Fetal Monitoring Questions
Question 1 of 9
Which dairy product should the client avoid during pregnancy?
Correct Answer: C
Rationale: Gorgonzola cheese is a soft, mold-ripened cheese that may contain Listeria, posing a risk during pregnancy.
Question 2 of 9
What organ does the ductus venosus shunt blood away from in fetal circulation?
Correct Answer: A
Rationale: Fetal blood bypasses the liver through the ductus venosus by carrying blood directly to the inferior vena cava.
Question 3 of 9
A nurse is caring for a laboring person who is experiencing strong contractions. What is the most important intervention to support the laboring person during this time?
Correct Answer: A
Rationale: The correct answer is A: provide comfort measures. Comfort measures such as massage, positioning, and relaxation techniques help the laboring person cope with the pain and intensity of contractions. By providing comfort, the nurse can help reduce stress and anxiety, promoting a more positive labor experience. Choice B (assist with breathing exercises) can be helpful, but comfort measures are more essential for overall well-being during labor. Choice C (provide reassurance and comfort) is similar to the correct answer but lacks the specific action of providing comfort measures. Choice D (administer antibiotics) is irrelevant to the management of strong contractions and is not indicated unless there is a specific medical reason for antibiotics.
Question 4 of 9
A pregnant woman states, “My husband hopes I will give him a boy because we have three girls.” What will the nurse explain to this woman?
Correct Answer: D
Rationale: When a Y-bearing sperm fertilizes an ovum, a male child is produced.
Question 5 of 9
A nurse is caring for a pregnant patient who is at 40 weeks gestation and is experiencing a sudden increase in vaginal discharge. What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A because the sudden increase in vaginal discharge at 40 weeks gestation could indicate the onset of labor. Checking for signs of labor, such as contractions and assessing fetal heart rate, is crucial to determine if the patient is in active labor. This helps in timely intervention and ensuring the well-being of both the mother and baby. Summary: - Choice B: Encouraging rest and monitoring changes in discharge may not address the urgency of the situation. - Choice C: Performing a pelvic exam without assessing signs of labor or fetal well-being may delay necessary actions. - Choice D: While reporting to the healthcare provider is important, immediate assessment of labor signs and fetal heart rate takes precedence.
Question 6 of 9
A pregnant patient is 30 weeks gestation and is concerned about gestational hypertension. Which of the following is a key sign of gestational hypertension?
Correct Answer: B
Rationale: The correct answer is B: Sudden swelling of the hands and feet. Gestational hypertension is characterized by sudden onset of high blood pressure after 20 weeks of pregnancy, leading to fluid retention and swelling. This is known as preeclampsia, a severe form of gestational hypertension. Swelling in the hands and feet is a key sign due to fluid imbalance. Severe headache and visual changes (choice A) are more indicative of preeclampsia complications. Excessive weight loss and fatigue (choice C) are not typical signs of gestational hypertension. Frequent urination and dehydration (choice D) are not directly related to gestational hypertension.
Question 7 of 9
A patient at 37 weeks gestation is admitted with ruptured membranes. What is the first priority action for the nurse?
Correct Answer: B
Rationale: The correct answer is B: Check for cord prolapse. This is the first priority action because a prolapsed cord is a life-threatening emergency that requires immediate intervention to prevent fetal hypoxia and distress. The nurse should quickly assess for cord presentation by performing a vaginal exam and relieving pressure on the cord if present. Incorrect choices: A: Assess for signs of infection - While infection is a concern with ruptured membranes, it is not the immediate priority over checking for cord prolapse. C: Perform a vaginal exam to assess cervical dilation - Assessing cervical dilation can wait until after ruling out cord prolapse. D: Perform a vaginal examination to check for fetal descent - Fetal descent assessment is not urgent compared to checking for cord prolapse in this scenario.
Question 8 of 9
A pregnant patient’s biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse’s most appropriate response?
Correct Answer: A
Rationale: A score of 8-10 is within the normal range for a biophysical profile, indicating no immediate concerns for the fetus.
Question 9 of 9
A nurse is caring for a pregnant patient at 36 weeks gestation who has been diagnosed with preeclampsia. Which of the following interventions should the nurse prioritize?
Correct Answer: B
Rationale: The correct answer is B because monitoring the patient's blood pressure and assessing for signs of worsening preeclampsia is crucial in managing the condition and preventing potential complications. At 36 weeks gestation, close monitoring is essential to detect any changes in the patient's condition promptly. Increasing fluid intake (choice A) may not be recommended for patients with preeclampsia due to the risk of fluid overload. Providing education about managing gestational diabetes (choice C) is irrelevant in this scenario. Administering pain relief (choice D) may provide temporary relief but does not address the underlying issue of worsening preeclampsia. Prioritizing blood pressure monitoring ensures timely intervention and management of preeclampsia to promote the well-being of both the patient and the baby.