ATI RN
Maternal Monitoring Questions
Question 1 of 5
Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?
Correct Answer: A
Rationale: In pharmacology, understanding maternal monitoring during pregnancy is crucial for nurses to provide optimal care. In this scenario, the correct answer is A) Anemia for a 34-week gestation client. Anemia is a common condition in pregnancy due to an increase in plasma volume that outpaces the increase in red blood cell mass, leading to a dilutional effect. Therefore, it is considered a normal finding in pregnancy, especially in the third trimester. Option B) Thrombocytopenia, a decrease in platelet count, is not a normal finding in pregnancy and can pose risks for bleeding complications during childbirth. Option C) Polycythemia, an elevated red blood cell count, is not expected in a 34-week gestation client and can indicate underlying issues such as dehydration or heart/lung problems. Option D) Hyperbilirubinemia, an increase in bilirubin levels, is not a typical finding in a 34-week gestation client and can be a sign of liver or blood disorders. Educationally, nurses must be able to interpret laboratory reports accurately to provide appropriate care and interventions for pregnant clients. Understanding the normal physiological changes in pregnancy and differentiating them from abnormal findings is essential for ensuring the well-being of both the mother and the fetus.
Question 2 of 5
A gravid woman who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Influenza. During pregnancy, it is recommended that women receive the influenza vaccine to protect both themselves and their developing fetus. Influenza can lead to severe complications in pregnant women, such as pneumonia, and can also increase the risk of preterm labor and delivery. By receiving the influenza vaccine, the woman can reduce her chances of contracting the flu during pregnancy, thus safeguarding her and her baby's health. The other options (B) Mumps, (C) Rubella, and (D) Varicella are not typically administered as routine vaccines during pregnancy. Mumps, Rubella, and Varicella vaccines are usually given before pregnancy to prevent congenital infections. Administering these vaccines during pregnancy can pose risks to the developing fetus. It is important for healthcare providers to be aware of the appropriate vaccines to administer during pregnancy to ensure the safety and well-being of both the mother and the baby. Educationally, this question highlights the importance of understanding vaccination recommendations for pregnant women. It emphasizes the need for healthcare providers to be knowledgeable about which vaccines are safe and beneficial during pregnancy to protect maternal and fetal health. By identifying the correct vaccine to administer in this scenario, healthcare professionals can demonstrate their commitment to providing evidence-based care and promoting positive pregnancy outcomes.
Question 3 of 5
A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? Select all that apply.
Correct Answer: D
Rationale: In the context of maternal monitoring during pregnancy, it is crucial for a pregnant woman to be aware of potential danger signs that may indicate complications. In this scenario, the correct answer is D) Persistent vomiting. Persistent vomiting in pregnancy, especially when accompanied by other symptoms like dehydration or weight loss, can be indicative of conditions such as hyperemesis gravidarum, which can lead to serious complications if not addressed promptly. A) Convulsions and B) Double vision are more likely related to neurological issues and may not be typical danger signs of pregnancy complications unless they are accompanied by other symptoms that suggest a pregnancy-related condition like preeclampsia. C) Epigastric pain, while potentially concerning if persistent or severe, is not as specific to pregnancy-related complications as persistent vomiting, which is more commonly associated with conditions like hyperemesis gravidarum or other gastrointestinal issues during pregnancy. From an educational standpoint, teaching pregnant women about these danger signs is crucial for empowering them to recognize when they need to seek medical attention promptly to ensure the health and safety of both themselves and their baby. By understanding the rationale behind each symptom, pregnant women can make informed decisions and take appropriate actions to address any potential complications.
Question 4 of 5
Which food can a lactose-intolerant pregnant woman consume for calcium?
Correct Answer: A
Rationale: In the context of pharmacology and maternal monitoring during pregnancy, understanding the dietary needs of pregnant women, especially those with specific dietary restrictions like lactose intolerance, is crucial for maintaining optimal health. The correct answer is A) Turnip greens. Turnip greens are an excellent source of calcium and are lactose-free, making them a suitable choice for a lactose-intolerant pregnant woman to meet her calcium needs. Calcium is essential during pregnancy for the development of the baby's bones, teeth, and overall growth. Option B) Green beans, option C) Cantaloupe, and option D) Nectarines are not ideal choices for a lactose-intolerant pregnant woman seeking to increase her calcium intake. While these foods may offer other nutrients beneficial during pregnancy, they do not provide as significant a source of calcium as turnip greens. Educationally, this question highlights the importance of individualized dietary recommendations during pregnancy, taking into account any existing dietary restrictions or intolerances. It emphasizes the need for healthcare providers to be knowledgeable about alternative sources of essential nutrients to support the health and well-being of both the mother and the developing fetus.
Question 5 of 5
Which food should the nurse advise a pregnant woman to avoid?
Correct Answer: A
Rationale: In pharmacology, understanding maternal monitoring during pregnancy is crucial to ensure the health and safety of both the mother and the developing fetus. The correct answer in this scenario is option A) Bologna. Bologna is a processed meat product that is known to carry a risk of foodborne illnesses, such as listeriosis, due to potential contamination during processing. It is important to advise pregnant women to avoid foods like bologna that pose a higher risk of foodborne illnesses because these can have serious consequences for the health of the mother and the baby. Listeriosis, for example, can lead to miscarriage, premature delivery, or severe illness in newborns. Option B) Cantaloupe, option C) Asparagus, and option D) Popcorn are not typically associated with a higher risk of foodborne illnesses during pregnancy. Cantaloupe and asparagus are nutritious choices that can be a part of a healthy pregnancy diet, providing essential vitamins and minerals. Popcorn can also be a safe snack option for pregnant women, as long as it is prepared and stored properly to avoid contamination. Educationally, this question highlights the importance of dietary choices during pregnancy and the potential risks associated with certain foods. It emphasizes the role of healthcare providers, particularly nurses, in providing evidence-based guidance to pregnant women to promote a healthy pregnancy and reduce potential risks to maternal and fetal health. By understanding which foods to avoid and why, healthcare providers can empower pregnant women to make informed decisions about their diet and overall well-being during this critical time.