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 a 34-week gestation client, the nurse would view polycythemia as a normal finding when evaluating laboratory reports. Polycythemia is an expected physiological response in a fetus due to intrauterine hypoxia, which stimulates increased red blood cell production. This condition helps the fetus compensate for potential oxygen deprivation during birth. Therefore, it is considered a normal finding in a 34-week gestation client. Anemia (Option A) would not be considered normal in this context because it indicates a deficiency in red blood cells, which can lead to inadequate oxygen delivery to the fetus. Thrombocytopenia (Option B) is a low platelet count and can lead to bleeding issues in the mother or fetus. Hyperbilirubinemia (Option D) is an excess of bilirubin in the blood, which can indicate liver or other underlying issues in the mother or fetus. Understanding normal physiological changes during pregnancy and how they can impact laboratory values is crucial for nurses caring for pregnant clients. By recognizing what is normal and abnormal, nurses can intervene promptly to ensure 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. The rationale behind administering the influenza vaccine during pregnancy is to protect both the mother and her developing fetus from potential complications of influenza infection. Pregnant women are at an increased risk of severe illness from influenza due to changes in their immune, heart, and lung functions during pregnancy. By receiving the influenza vaccine, the woman can reduce her risk of contracting the virus and potentially experiencing serious complications. The other options (B) Mumps, (C) Rubella, and (D) Varicella are not the recommended vaccines for this situation. Mumps, rubella, and varicella are live attenuated vaccines that are contraindicated during pregnancy due to the potential risk of transmitting the live virus to the fetus, which can have harmful effects. These vaccines are typically administered postpartum if the woman is not immune. In an educational context, it is crucial for healthcare providers to understand the rationale behind administering specific vaccines during pregnancy to provide optimal care for pregnant women. By comprehending the risks and benefits of vaccination, providers can effectively communicate with patients about the importance of immunization to protect both maternal and fetal health. It is essential to follow evidence-based guidelines and recommendations to ensure the safety and well-being of pregnant women and their babies.
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 healthcare providers to educate pregnant women about potential danger signs that warrant immediate medical attention. In this scenario, the correct answer is D) Persistent vomiting. Persistent vomiting in pregnancy can be a sign of conditions like hyperemesis gravidarum, a severe form of nausea and vomiting that can lead to dehydration, electrolyte imbalances, and weight loss, endangering both the mother and the developing fetus. Therefore, prompt medical evaluation and intervention are necessary to prevent complications. Regarding the incorrect options: A) Convulsions: While convulsions are a serious medical emergency, in the context of pregnancy, persistent vomiting is a more specific indicator of potential complications related to the pregnancy itself. B) Double vision: Although double vision can be concerning, it is not as directly linked to pregnancy-related complications as persistent vomiting. C) Epigastric pain: While epigastric pain can be a symptom of certain conditions like preeclampsia, persistent vomiting is a more specific and direct danger sign in the context of maternal monitoring during pregnancy. Educationally, understanding these danger signs and their implications helps pregnant women make informed decisions about seeking medical help promptly, contributing to better maternal and fetal outcomes. Healthcare providers play a crucial role in empowering pregnant women with this knowledge to promote their health and well-being during pregnancy.
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, understanding dietary considerations during pregnancy, especially for women with specific dietary restrictions like lactose intolerance, is crucial. In this scenario, the correct answer is A) Turnip greens. Turnip greens are an excellent source of calcium that can be consumed by lactose-intolerant pregnant women to meet their calcium requirements for maintaining bone health and supporting fetal development. Calcium is essential during pregnancy for the development of the baby's bones, teeth, muscles, and heart. Green beans, cantaloupe, and nectarines are not good sources of calcium compared to turnip greens. Green beans are rich in other nutrients like fiber and folate but are not significant sources of calcium. Cantaloupe and nectarines are fruits that are low in calcium content compared to leafy greens like turnip greens. Educationally, it is important for healthcare providers to educate pregnant women, especially those with dietary restrictions, on alternative sources of essential nutrients to ensure a healthy pregnancy. This question highlights the importance of individualized dietary recommendations based on a woman's specific needs and dietary restrictions during pregnancy.
Question 5 of 5
Which food should the nurse advise a pregnant woman to avoid?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Bologna. The nurse should advise a pregnant woman to avoid bologna due to its potential risk of containing Listeria monocytogenes, a bacteria that can lead to serious complications for the fetus, such as miscarriage, stillbirth, premature delivery, or infection in the newborn. Pregnant women are particularly vulnerable to Listeria infections due to changes in their immune system during pregnancy. Cantaloupe, asparagus, and popcorn are not typically contraindicated during pregnancy as long as they are properly washed, cooked, or prepared. Cantaloupe is a healthy fruit choice, providing essential vitamins and minerals. Asparagus is a nutritious vegetable rich in folate, which is important for fetal development. Popcorn can be a healthy snack option for pregnant women, as long as it is not heavily buttered or seasoned with excessive salt. Educationally, it is crucial for healthcare providers to educate pregnant women about foods to avoid to prevent potential harm to themselves and their unborn babies. This knowledge empowers pregnant women to make informed choices that support a healthy pregnancy. Providing evidence-based information on nutrition during pregnancy helps promote the well-being of both the mother and the developing fetus.