Maternal Fetal Monitoring

Maternal Fetal Monitoring Related

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A nurse is caring for a pregnant patient at 36 weeks gestation who has been diagnosed with preeclampsia. Which of the following interventions should the nurse prioritize?

  • A. Encourage the patient to increase fluid intake to prevent dehydration.
  • B. Monitor the patient's blood pressure and assess for signs of worsening preeclampsia.
  • C. Provide education about managing gestational diabetes.
  • D. Administer pain relief to reduce discomfort from swelling.
Correct Answer: B

Rationale: The correct answer is B because monitoring the patient's blood pressure and assessing for signs of worsening preeclampsia is crucial in managing the condition and preventing potential complications. At 36 weeks gestation, close monitoring is essential to detect any changes in the patient's condition promptly. Increasing fluid intake (choice A) may not be recommended for patients with preeclampsia due to the risk of fluid overload. Providing education about managing gestational diabetes (choice C) is irrelevant in this scenario. Administering pain relief (choice D) may provide temporary relief but does not address the underlying issue of worsening preeclampsia. Prioritizing blood pressure monitoring ensures timely intervention and management of preeclampsia to promote the well-being of both the patient and the baby.

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What organ does the ductus venosus shunt blood away from in fetal circulation?

  • A. Liver
  • B. Heart
  • C. Lungs
  • D. Kidneys
Correct Answer: A

Rationale: Fetal blood bypasses the liver through the ductus venosus by carrying blood directly to the inferior vena cava.

A pregnant patient has received the results of her triple-screen testing and it is positive. What would the nurse anticipate as the next step in the patient’s plan of care?

  • A. No further testing is indicated at this time because results are normal.
  • B. Refer to the physician for additional testing.
  • C. Validate the results with the lab facility.
  • D. Repeat the test in 2 weeks and have the patient return for her regularly scheduled prenatal visit.
Correct Answer: B

Rationale: A positive triple-screen test suggests an increased risk of genetic abnormalities, requiring additional diagnostic testing.

A nurse is educating a pregnant patient about the signs of preterm labor. Which of the following should the nurse include in the teaching plan?

  • A. Frequent, regular contractions every 10 minutes or less.
  • B. Decreased fetal movement and back pain.
  • C. Mild cramping and occasional vaginal spotting.
  • D. Headaches and blurred vision, especially after physical activity.
Correct Answer: A

Rationale: The correct answer is A because frequent, regular contractions every 10 minutes or less are a classic sign of preterm labor, indicating the need for immediate medical attention. Decreased fetal movement and back pain (choice B) are not specific signs of preterm labor. Mild cramping and occasional vaginal spotting (choice C) could be normal in pregnancy or may indicate other issues, but they are not definitive signs of preterm labor. Headaches and blurred vision (choice D) are more indicative of preeclampsia, a separate condition from preterm labor. Therefore, choice A is the most accurate and specific sign to include in the teaching plan for preterm labor.

A nurse is caring for a pregnant patient who is at 40 weeks gestation and is experiencing a sudden increase in vaginal discharge. What is the nurse's priority action?

  • A. Check for signs of labor and assess fetal heart rate.
  • B. Encourage the patient to rest and monitor for changes in discharge.
  • C. Perform a pelvic exam to assess the amount of discharge.
  • D. Call the healthcare provider immediately to report the change in discharge.
Correct Answer: A

Rationale: The correct answer is A because the sudden increase in vaginal discharge at 40 weeks gestation could indicate the onset of labor. Checking for signs of labor, such as contractions and assessing fetal heart rate, is crucial to determine if the patient is in active labor. This helps in timely intervention and ensuring the well-being of both the mother and baby.

Summary:
- Choice B: Encouraging rest and monitoring changes in discharge may not address the urgency of the situation.
- Choice C: Performing a pelvic exam without assessing signs of labor or fetal well-being may delay necessary actions.
- Choice D: While reporting to the healthcare provider is important, immediate assessment of labor signs and fetal heart rate takes precedence.

The following four changes occur during pregnancy. Which of them usually increases the father’s interest and involvement in the pregnancy?

  • A. Learning the results of the pregnancy test.
  • B. Attending childbirth education classes.
  • C. Hearing the fetal heartbeat.
  • D. Meeting the obstetrician or midwife.
Correct Answer: C

Rationale: Hearing the fetal heartbeat is a significant moment that often increases the father’s interest and involvement in the pregnancy. The other options may also increase involvement but are less impactful.

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