ATI RN
Maternal Monitoring During Labor Questions
Question 1 of 5
Which of the following vital sign changes should the nurse highlight for a pregnant woman’s obstetrician?
Correct Answer: A
Rationale: In the context of maternal monitoring during labor, the nurse should highlight the vital sign changes of the pregnant woman to the obstetrician to ensure the well-being of both the mother and the fetus. Option A is the correct choice as it indicates a significant increase in blood pressure from the prepregnancy state to the third trimester, which could be indicative of gestational hypertension or preeclampsia, conditions that require immediate medical attention. Option B, respiratory rate changes, are not typically a primary concern in maternal monitoring unless there are specific respiratory issues present. Option C, heart rate changes, can be expected to increase slightly during pregnancy due to the physiological changes but are not as critical as blood pressure changes. Option D, temperature changes, are not typically a key indicator of complications during labor unless there are signs of infection. Educationally, understanding the significance of vital sign changes during pregnancy is crucial for nurses to detect and address potential complications promptly. By emphasizing the importance of continuous monitoring and timely reporting of vital sign changes, nurses can contribute to ensuring the safety and well-being of both the mother and the baby during labor and delivery.
Question 2 of 5
The blood of a pregnant client was initially assessed at 10 weeks’ gestation and reassessed at 38 weeks’ gestation.
Correct Answer: B
Rationale: In the context of maternal monitoring during labor, the correct answer is B) Rise in white blood cells from 5,000 cells/mm3 to 15,000 cells/mm3. This change indicates an increase in white blood cells, which is a normal physiological response during pregnancy due to the body's preparation for potential postpartum hemorrhage. Option A) Rise in hematocrit from 34% to 38% is not a typical finding during pregnancy, as hematocrit levels tend to decrease slightly due to hemodilution. Option C) Rise in potassium from 3.9 mEq/L to 5.2 mEq/L could indicate a potential issue like renal dysfunction, but it is not a common finding solely related to pregnancy. Option D) Rise in sodium from 137 mEq/L to 150 mEq/L is not a typical change during pregnancy and could indicate dehydration or other underlying conditions. Educationally, understanding the normal physiological changes in laboratory values during pregnancy is crucial for healthcare providers caring for pregnant women. Monitoring these values helps in early detection of any abnormalities and ensures appropriate interventions are implemented promptly to safeguard the health of both the mother and the fetus.
Question 3 of 5
A gravid woman and her husband inform the nurse that they have just moved into a three-story home that was built in the 1930s. Which of the following is critical for the nurse to advise the woman to protect the unborn child?
Correct Answer: A
Rationale: The correct answer is A) Stay out of any rooms that are being renovated. This advice is critical because the woman and her unborn child could be exposed to potentially harmful substances during the renovation process, such as lead paint or asbestos, which were commonly used in homes built in the 1930s. These substances can pose serious health risks to the developing fetus. Option B) Drink water only from the hot water tap is incorrect because it does not address the specific risk associated with renovating an older home. Option C) Refrain from entering the basement is also incorrect as it does not specifically address the potential dangers of exposure to renovation materials. Option D) Climb the stairs only once per day is unrelated to the scenario presented and does not provide any protection from the hazards of renovation. In an educational context, it is essential for healthcare providers to counsel pregnant women on potential environmental hazards that could impact their health and the health of their unborn child. This scenario highlights the importance of being aware of the risks associated with living in older homes and undergoing renovations during pregnancy to ensure the safety and well-being of both the mother and the baby.
Question 4 of 5
A woman provides the nurse with the following obstetrical history: Delivered a son, now 7 years old, at 28 weeks’ gestation; delivered a daughter, now 5 years old, at 39 weeks’ gestation; had a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman’s gravidity and parity?
Correct Answer: D
Rationale: In this case, the correct answer is D) G5 P2211. Gravidity (G) refers to the total number of pregnancies, including the current one, regardless of the outcome. Parity (P) indicates the number of pregnancies that have reached viability (over 20 weeks) regardless of the outcome. In this scenario, the woman had a total of 5 pregnancies (G5) - including the current one. She has had 2 full-term deliveries (P2), 2 preterm births (before 37 weeks), 1 miscarriage (pregnancy loss before 20 weeks), and 1 first-trimester abortion. Option A (G4 P2121) is incorrect because it does not account for all of the woman's pregnancies and their outcomes accurately. Option B (G4 P1212) is incorrect as it misrepresents the number of preterm births and miscarriages. Option C (G5 P1122) is incorrect because it inaccurately reflects the number of preterm deliveries and miscarriages. Understanding gravidity and parity is crucial in maternal monitoring during labor as it provides essential information about a woman's obstetrical history, which can influence current pregnancy management and care decisions. By correctly interpreting these terms, healthcare providers can offer more personalized and effective care to pregnant individuals.
Question 5 of 5
What item represents a serving of meat?
Correct Answer: A
Rationale: In the context of maternal monitoring during labor, understanding the appropriate serving sizes of different food groups is crucial for maintaining energy levels and overall health for the laboring mother. In this question, the correct answer is A) Deck of cards, representing a serving of meat. A deck of cards is often used as a visual reference for a serving size of meat because it approximates the recommended portion size of 3 ounces. This portion provides an adequate amount of protein without being excessive, which is important for maintaining energy levels during labor without causing discomfort or digestive issues. Option B) Paperback book is incorrect because it does not accurately represent a serving size of meat and could lead to overconsumption, which may be uncomfortable for the mother during labor. Option C) Clenched fist is incorrect because it is typically used as a reference for a serving of vegetables, not meat. Using this size reference for meat could result in an inadequate intake of protein. Option D) Large tomato is incorrect as it is not a standard reference for a serving of meat. Using a large tomato as a serving size could provide insufficient protein for the laboring mother. Educationally, understanding correct portion sizes of different food groups is essential for promoting maternal health during labor. By knowing appropriate serving sizes, healthcare providers can guide laboring mothers in making nutritious food choices to support their energy levels and overall well-being throughout the labor process.