Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

Review Atrium Health Womens Care Maternal Fetal Monitoring related questions and content

A pregnant patient is 26 weeks gestation and is concerned about gaining too much weight. What is the nurse's most appropriate response?

  • A. Weight gain should be monitored, but it is important to eat for two during pregnancy.
  • B. Pregnant women are encouraged to maintain a healthy weight gain and eat a balanced diet.
  • C. Excessive weight gain can result in complications such as gestational diabetes and preeclampsia.
  • D. It is better to limit caloric intake to prevent excessive weight gain.
Correct Answer: C

Rationale: The correct answer is C because excessive weight gain during pregnancy can lead to complications like gestational diabetes and preeclampsia. As the nurse, it is important to educate the patient on the risks associated with excessive weight gain. By highlighting these potential complications, the nurse can emphasize the importance of monitoring weight gain and making healthy choices. Choices A and B are incorrect as they do not address the risks of excessive weight gain. Choice D is also incorrect as it suggests limiting caloric intake, which may not provide adequate nutrition for the growing fetus. It is crucial to educate the patient on the importance of a balanced diet and healthy weight gain to promote a healthy pregnancy.

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A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2012. Using Nagele’s rule, the nurse calculates the client’s estimated date of delivery as:

  • A. May 30, 2013.
  • B. June 20, 2013.
  • C. June 27, 2013.
  • D. July 3, 2013.
Correct Answer: C

Rationale: Using Nagele’s rule (adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding 1 year), the calculated EDD is June 27, 2013.

The nurse is caring for a pregnant patient who is at 28 weeks gestation and has been diagnosed with gestational diabetes. Which of the following interventions should the nurse prioritize?

  • A. Monitor the patient's blood glucose levels and administer insulin as needed.
  • B. Educate the patient about safe exercise and nutrition practices to manage blood glucose.
  • C. Recommend that the patient avoid all carbohydrates to control blood sugar.
  • D. Schedule regular ultrasounds to assess fetal growth and development.
Correct Answer: B

Rationale: The correct answer is B because educating the patient about safe exercise and nutrition practices is crucial in managing gestational diabetes. Exercise and proper nutrition help control blood glucose levels and reduce the risk of complications for both the mother and the baby. Monitoring blood glucose levels and administering insulin (choice A) are important but not the priority at this stage. Avoiding all carbohydrates (choice C) is not recommended as balanced carbohydrate intake is essential. Regular ultrasounds (choice D) are important but do not directly address managing gestational diabetes.

A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.

  • A. Pap smear.
  • B. Mammogram.
  • C. Glucose challenge test.
  • D. Biophysical profile.
Correct Answer: A

Rationale: A Pap smear and complete blood count are standard assessments during the first prenatal visit. A mammogram, glucose challenge test, and biophysical profile are not typically performed at this stage.

A nurse is caring for a laboring person who is experiencing irregular contractions. What is the priority intervention to address this issue?

  • A. Administer tocolytics
  • B. Administer analgesics
  • C. Monitor fetal heart rate
  • D. Increase oxytocin infusion
Correct Answer: A

Rationale: The correct answer is A: Administer tocolytics. Tocolytics help to inhibit uterine contractions and can be used to address irregular contractions during labor. This intervention helps to prevent preterm labor and promote fetal well-being. Administering analgesics (choice B) may help with pain management but does not address the underlying issue of irregular contractions. Monitoring fetal heart rate (choice C) is important but does not directly address the irregular contractions. Increasing oxytocin infusion (choice D) would worsen the situation by further stimulating contractions. Therefore, administering tocolytics is the priority intervention to address irregular contractions during labor.

A woman states that she frequently awakens with 'painful leg cramps' during the night. Which of the following assessments should the nurse make?

  • A. Dietary evaluation.
  • B. Goodell’s sign.
  • C. Hegar’s sign.
  • D. Posture evaluation.
Correct Answer: A

Rationale: Leg cramps during pregnancy are often related to dietary deficiencies, particularly calcium and magnesium. A dietary evaluation is the most appropriate assessment.

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