Maternal Monitoring During Labor

ATI RN · Maternal Monitoring During Labor

Question 1 of 71

A patient who is 40 weeks pregnant and is in labor suddenly complains of a severe headache and blurry vision. What should the nurse assess for?

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ATI RN · Maternal Monitoring During Labor

Question 2 of 71

Place these developmental milestones in chronological order: Four-chambered heart forms, Vernix caseosa appears, Blastocyst development completes, Testes descend

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ATI RN · Maternal Monitoring During Labor

Question 3 of 71

A nurse is caring for a laboring person who is in the first stage of labor. What is the priority assessment to perform during this stage?

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ATI RN · Maternal Monitoring During Labor

Question 4 of 71

A nurse is preparing a laboring person for an epidural. What is the most important intervention before the procedure?

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ATI RN · Maternal Monitoring During Labor

Question 5 of 71

A nurse is assessing a laboring person who is receiving oxytocin for labor induction. What is the most important intervention to prevent uterine hyperstimulation?

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ATI RN · Maternal Monitoring During Labor

Question 6 of 71

The nurse is teaching a pregnant patient about preparing for childbirth. Which of the following statements by the patient indicates that further teaching is needed?

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ATI RN · Maternal Monitoring During Labor

Question 7 of 71

The nurse is caring for a pregnant patient who is 24 weeks gestation and has been diagnosed with a urinary tract infection (UTI). Which of the following interventions should the nurse prioritize?

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ATI RN · Maternal Monitoring During Labor

Question 8 of 71

The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above prepregnancy levels? Select all that apply.

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ATI RN · Maternal Monitoring During Labor

Question 9 of 71

A nurse is caring for a pregnant patient who is 24 weeks gestation and has been diagnosed with anemia. What should the nurse teach the patient about managing this condition?

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ATI RN · Maternal Monitoring During Labor

Question 10 of 71

A nurse is assessing the fetal heart rate of a laboring person. What is the most significant finding that would indicate fetal distress?

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ATI RN · Maternal Monitoring During Labor

Question 11 of 71

A nurse is caring for a 38-week pregnant patient who is experiencing a decrease in fetal movement. Which of the following should be the nurse's first action?

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ATI RN · Maternal Monitoring During Labor

Question 12 of 71

A nurse is assisting a postpartum person with breastfeeding. What is the best intervention to help relieve nipple pain?

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ATI RN · Maternal Monitoring During Labor

Question 13 of 71

A pregnant patient is at 32 weeks gestation and reports swelling of the feet and legs. What is the most appropriate recommendation for the nurse to make?

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ATI RN · Maternal Monitoring During Labor

Question 14 of 71

A patient in labor who is 7 cm dilated requests pain relief. What is the most appropriate intervention at this time?

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ATI RN · Maternal Monitoring During Labor

Question 15 of 71

The nurse asks a 31-week gestation client to lie on the examining table during a prenatal examination.

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ATI RN · Maternal Monitoring During Labor

Question 16 of 71

A nurse is caring for a pregnant patient who is 30 weeks gestation and is diagnosed with mild preeclampsia. Which of the following should be included in the plan of care?

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ATI RN · Maternal Monitoring During Labor

Question 17 of 71

During an ultrasound, two amnions and two placentas are observed. What will be the most likely result of this pregnancy?

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ATI RN · Maternal Monitoring During Labor

Question 18 of 71

Which of the following vital sign changes should the nurse highlight for a pregnant woman's obstetrician?

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ATI RN · Maternal Monitoring During Labor

Question 19 of 71

A nurse is caring for a laboring person who is experiencing irregular fetal heart rate patterns. What is the most appropriate intervention?

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ATI RN · Maternal Monitoring During Labor

Question 20 of 71

What response is appropriate regarding sushi consumption during pregnancy?

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ATI RN · Maternal Monitoring During Labor

Question 21 of 71

The nurse is caring for a pregnant patient who is 30 weeks gestation and has a BMI of 32. Which of the following complications should the nurse monitor for more closely?

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ATI RN · Maternal Monitoring During Labor

Question 22 of 71

A pregnant patient is at 25 weeks gestation and is concerned about her risk of preterm labor. Which of the following symptoms should the nurse educate the patient to report immediately?

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ATI RN · Maternal Monitoring During Labor

Question 23 of 71

The nurse is caring for a pregnant patient who is 35 weeks gestation and reports sharp abdominal pain and decreased fetal movement. What is the nurse's priority action?

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ATI RN · Maternal Monitoring During Labor

Question 24 of 71

A pregnant patient at 34 weeks gestation reports sudden swelling of the hands, feet, and face. What is the nurse's priority action?

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ATI RN · Maternal Monitoring During Labor

Question 25 of 71

The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?

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ATI RN · Maternal Monitoring During Labor

Question 26 of 71

A pregnant patient at 24 weeks gestation reports experiencing leg cramps. What is the most appropriate intervention for the nurse to recommend?

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ATI RN · Maternal Monitoring During Labor

Question 27 of 71

A patient is in active labor and is experiencing back labor. Which position would be most helpful to relieve the back pain?

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ATI RN · Maternal Monitoring During Labor

Question 28 of 71

A nurse is assessing a laboring person's progress. What is the most reliable indicator that the laboring person is in the active phase of labor?

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ATI RN · Maternal Monitoring During Labor

Question 29 of 71

A nurse is caring for a laboring person who is experiencing fetal bradycardia. What is the priority intervention?

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ATI RN · Maternal Monitoring During Labor

Question 30 of 71

A nurse is assisting with a vaginal delivery. What is the most important nursing intervention when the fetal head begins to crown?

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ATI RN · Maternal Monitoring During Labor

Question 31 of 71

Why is pregnancy planning important for women of childbearing age?

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ATI RN · Maternal Monitoring During Labor

Question 32 of 71

For which patient would an L/S ratio of 2:1 potentially be considered abnormal?

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ATI RN · Maternal Monitoring During Labor

Question 33 of 71

A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports feeling fatigued and weak. What is the most appropriate action for the nurse to take?

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ATI RN · Maternal Monitoring During Labor

Question 34 of 71

A patient who has been in labor for several hours is now fully dilated and ready to push. What is the first action the nurse should take?

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ATI RN · Maternal Monitoring During Labor

Question 35 of 71

The school nurse is counseling a group of adolescent girls. What does the nurse explain about sperm ejaculated near the cervix?

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ATI RN · Maternal Monitoring During Labor

Question 36 of 71

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?

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ATI RN · Maternal Monitoring During Labor

Question 37 of 71

The nurse is providing education to a pregnant patient who is experiencing nausea and vomiting during pregnancy. Which of the following interventions should the nurse recommend?

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ATI RN · Maternal Monitoring During Labor

Question 38 of 71

A 40-year-old primiparous woman who is 38 weeks pregnant has been on the labor unit for an hour when she starts to complain of feeling dizzy, light-headed, and nauseous. Her blood pressure is 90/60. What should be the first response of the nurse?

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ATI RN · Maternal Monitoring During Labor

Question 39 of 71

The embryo is termed a fetus at which stage of prenatal development?

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ATI RN · Maternal Monitoring During Labor

Question 40 of 71

A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?

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ATI RN · Maternal Monitoring During Labor

Question 41 of 71

A pregnant patient is at 32 weeks gestation and reports a sudden headache and visual disturbances. What is the nurse's priority action?

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ATI RN · Maternal Monitoring During Labor

Question 42 of 71

A nurse is assisting with a vaginal birth and is monitoring for signs of placental separation. What is the most reliable clinical indicator that the placenta has separated?

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ATI RN · Maternal Monitoring During Labor

Question 43 of 71

What item represents a serving of meat?

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ATI RN · Maternal Monitoring During Labor

Question 44 of 71

The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate?

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ATI RN · Maternal Monitoring During Labor

Question 45 of 71

A patient in labor is experiencing back labor and complains of severe back pain. Which position is likely to provide the most comfort?

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ATI RN · Maternal Monitoring During Labor

Question 46 of 71

The blood of a pregnant client was initially assessed at 10 weeks' gestation and reassessed at 38 weeks' gestation.

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ATI RN · Maternal Monitoring During Labor

Question 47 of 71

What does optimal nursing care after an amniocentesis include?

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ATI RN · Maternal Monitoring During Labor

Question 48 of 71

What is the primary nursing action when a laboring person experiences a ruptured uterus?

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ATI RN · Maternal Monitoring During Labor

Question 49 of 71

A nurse is educating a postpartum person about perineal care. What is the most important teaching point?

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ATI RN · Maternal Monitoring During Labor

Question 50 of 71

A pregnant person in the first stage of labor experiences rupture of membranes. What is the nurse's priority action?

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ATI RN · Maternal Monitoring During Labor

Question 51 of 71

A pregnant patient at 28 weeks gestation reports lower back pain. What should the nurse do first?

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ATI RN · Maternal Monitoring During Labor

Question 52 of 71

A pregnant patient at 32 weeks gestation reports a sudden headache and blurred vision. What is the nurse's priority action?

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ATI RN · Maternal Monitoring During Labor

Question 53 of 71

The nurse takes the history of a client, G2 P1001, at her first prenatal visit. Which of the following statements would indicate that the client should be referred to a genetic counselor?

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ATI RN · Maternal Monitoring During Labor

Question 54 of 71

A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant?

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ATI RN · Maternal Monitoring During Labor

Question 55 of 71

A patient in labor is at 6 cm dilation and requests an epidural. What is the most appropriate response from the nurse?

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ATI RN · Maternal Monitoring During Labor

Question 56 of 71

A pregnant patient who is 28 weeks gestation reports a sudden headache and visual changes. What is the nurse's priority action?

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ATI RN · Maternal Monitoring During Labor

Question 57 of 71

A pregnant patient at 32 weeks gestation reports persistent nausea and vomiting. What is the nurse's priority action?

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ATI RN · Maternal Monitoring During Labor

Question 58 of 71

The nurse is caring for a pregnant patient who is at 36 weeks gestation and reports severe lower back pain. What should the nurse recommend?

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ATI RN · Maternal Monitoring During Labor

Question 59 of 71

A nurse is educating a postpartum person about newborn care. What is the best way to prevent diaper rash?

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ATI RN · Maternal Monitoring During Labor

Question 60 of 71

The nurse is caring for a pregnant patient who is experiencing frequent contractions. The patient asks the nurse if the contractions are normal. Which response by the nurse is most appropriate?

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ATI RN · Maternal Monitoring During Labor

Question 61 of 71

A nurse is caring for a postpartum person who is at risk for postpartum hemorrhage. What is the most important nursing action to reduce the risk?

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ATI RN · Maternal Monitoring During Labor

Question 62 of 71

The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different?

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ATI RN · Maternal Monitoring During Labor

Question 63 of 71

What is the purpose of administering magnesium sulfate during preterm labor?

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ATI RN · Maternal Monitoring During Labor

Question 64 of 71

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?

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ATI RN · Maternal Monitoring During Labor

Question 65 of 71

Which is fetal tachycardia likely caused by?

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ATI RN · Maternal Monitoring During Labor

Question 66 of 71

A laboring person requests an epidural for pain relief. What is the nurse's priority action before the procedure?

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ATI RN · Maternal Monitoring During Labor

Question 67 of 71

A 26-year-old pregnant woman who is 12 weeks gestation asks the nurse about the importance of folic acid. Which of the following is the best response by the nurse?

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ATI RN · Maternal Monitoring During Labor

Question 68 of 71

A pregnant patient at 34 weeks gestation is concerned about the possibility of preterm labor. Which of the following is the most appropriate action for the nurse to take?

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ATI RN · Maternal Monitoring During Labor

Question 69 of 71

What is the first step the nurse should take when assessing a newborn's respiratory status immediately after birth?

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ATI RN · Maternal Monitoring During Labor

Question 70 of 71

The nurse explains that prior to fertilization each cell is reduced from 46 chromosomes to 23 chromosomes. This is referred to as the __________ number.

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ATI RN · Maternal Monitoring During Labor

Question 71 of 71

A nurse is providing prenatal education to a pregnant patient. Which of the following statements indicates a need for further teaching about maternal weight gain during pregnancy?

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