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ATI RN · ATI Maternal Newborn · Monitoring Baby During Labour

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for a pregnant patient who is at 30 weeks gestation and has been diagnosed with gestational diabetes. Which of the following is the most important aspect of the patient's care plan?

A. Maintaining a healthy weight gain during pregnancy.

B. Monitoring blood glucose levels and maintaining a balanced diet.

C. Increasing fluid intake to reduce the risk of dehydration.

D. Administering insulin to control blood sugar levels.

Expert Explanatory Rationale

Correct Answer: Monitoring blood glucose levels and maintaining a balanced diet.

Question 2 of 5

How often should the nurse assess the blood pressure, pulse, and respirations of the birthing person during the first hour of the fourth stage of labor?

A. every 15 minutes

B. every 30 minutes

C. not until after the first hour

D. once, then hourly

Expert Explanatory Rationale

Correct Answer: every 15 minutes

Question 3 of 5

A patient at 36 weeks gestation is undergoing a nonstress test (NST). The nurse observes the fetal heart rate baseline at 135 bpm and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for 20-25 seconds each. How will the nurse record these findings?

A. NST positive, nonreassuring

B. NST negative, reassuring

C. NST reactive, reassuring

D. NST nonreactive, nonreassuring

Expert Explanatory Rationale

Correct Answer: NST reactive, reassuring

Question 4 of 5

A 34-week pregnant woman presents with a non-reactive nonstress test (NST). What should the nurse do next?

A. Administer a tocolytic agent

B. Perform a biophysical profile (BPP)

C. Monitor the fetal heart rate for 30 minutes

D. Monitor fetal heart rate

Expert Explanatory Rationale

Correct Answer: Perform a biophysical profile (BPP)

Question 5 of 5

A woman in labor is receiving magnesium sulfate for preterm labor. What should the nurse monitor closely during this treatment?

A. Deep tendon reflexes

B. Respiratory rate

C. Maternal blood pressure

D. Fetal heart rate

Expert Explanatory Rationale

Correct Answer: Deep tendon reflexes

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