ATI RN
External Maternal Monitoring Questions
Question 1 of 5
Which statement about fetal circulation is correct?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 5
The woman's partner is lightly stroking her abdomen as an alternative to medication for pain relief in labor. What is this known as?
Correct Answer: A
Rationale: The correct answer is A: Counterpressure. This technique involves applying pressure to specific areas to alleviate pain during labor. In this scenario, the partner is using light strokes on the woman's abdomen to provide pain relief. Counterpressure helps release endorphins, which are natural painkillers, and distracts the brain from focusing on the pain sensations. Effleurage (B) is a gentle stroking technique used for relaxation, not specifically for pain relief. Guided imagery (C) involves visualizing calming scenes to reduce stress, not directly addressing pain. Biofeedback (D) is a method of monitoring and controlling physiological responses, not a hands-on pain relief technique like counterpressure.
Question 3 of 5
The patient who has received a dose of preservative-free morphine (Duramorph) is beginning to experience pruritus. Which medication is used to treat this?
Correct Answer: B
Rationale: The correct answer is B: Diphenhydramine. Pruritus is a common side effect of opioids like morphine. Diphenhydramine, an antihistamine, can help alleviate itching by blocking histamine receptors. Low-dose naloxone infusion (A) is used to reverse opioid overdose, not treat pruritus. Dilaudid (C) and Sublimaze (D) are also opioids and would not be effective in treating pruritus caused by morphine. Diphenhydramine is the most appropriate choice for addressing this specific symptom.
Question 4 of 5
A woman in labor begins to experience a sudden increase in vaginal bleeding and the fetal heart rate decelerates. What is the likely cause of these symptoms?
Correct Answer: B
Rationale: The correct answer is B: Placental abruption. Placental abruption is the premature separation of the placenta from the uterine wall, leading to vaginal bleeding and fetal distress. The sudden increase in bleeding and fetal heart rate deceleration are hallmark signs of placental abruption. Placenta previa (choice A) involves bleeding without fetal distress. Uterine rupture (choice C) typically presents with severe abdominal pain and shock. Cervical laceration (choice D) would not cause fetal heart rate deceleration.
Question 5 of 5
A 36-week pregnant woman is admitted with ruptured membranes and a positive test for Group B Streptococcus (GBS). What is the appropriate nursing action?
Correct Answer: A
Rationale: The correct answer is A: Start prophylactic antibiotics for the patient. In this scenario, the woman is at risk for ascending infection due to ruptured membranes and positive GBS test. Prophylactic antibiotics are necessary to prevent neonatal GBS sepsis. Performing a cesarean section is not indicated unless there are other obstetric indications. Administering IV fluids is important but not the priority in this case. Patient education on labor progression is not the immediate concern when the woman is at risk for infection.