Advanced Maternal Age Monitoring

Advanced Maternal Age Monitoring Related

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What is the priority intervention for a laboring person with a suspected uterine rupture?

  • A. prepare for an emergency cesarean section
  • B. perform uterine massage
  • C. apply pressure to the abdomen
  • D. monitor the fetal heart rate continuously
Correct Answer: B

Rationale: The correct answer is B: perform uterine massage. This intervention aims to prevent excessive bleeding and stabilize the uterus. Uterine massage helps to maintain uterine tone, which is crucial in managing uterine rupture. This intervention can help reduce the risk of maternal hemorrhage and improve fetal oxygenation.

Incorrect choices:
A: Emergency cesarean section may be necessary but is not the priority as immediate measures to control bleeding and maintain uterine tone are crucial.
C: Applying pressure to the abdomen is not recommended as it can further exacerbate uterine rupture and increase the risk of complications.
D: Continuous monitoring of the fetal heart rate is important but not the priority in managing uterine rupture, which requires immediate intervention to prevent maternal and fetal complications.

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The nurse discusses sexual intimacy with a pregnant couple. Which of the following should be included in the teaching plan?

  • A. Vaginal intercourse should cease by the beginning of the third trimester.
  • B. Breast fondling should be discouraged because of the potential for preterm labor.
  • C. The couple may find it necessary to experiment with alternate positions.
  • D. Vaginal lubricant should be used sparingly throughout the pregnancy.
Correct Answer: C

Rationale: Experimenting with alternate positions is often necessary due to changing body dynamics during pregnancy. Vaginal intercourse does not need to stop unless medically advised, breast fondling is unlikely to induce labor, and vaginal lubricants can be used as needed.

A nurse is preparing to administer a postpartum tetanus shot. What is the most important action before administering the shot?

  • A. verify the person's immunization status
  • B. assess the person's blood pressure
  • C. assess for uterine atony
  • D. prepare for a cesarean section
Correct Answer: C

Rationale: Rationale:
C is correct because assessing for uterine atony is crucial before administering a postpartum tetanus shot to ensure no postpartum hemorrhage risk. Uterine atony can lead to excessive bleeding, which can be exacerbated by the tetanus shot.
Summary:
A - Verifying immunization status is important but not the most immediate action.
B - Assessing blood pressure is important but not directly related to the risk of postpartum hemorrhage.
D - Preparing for a cesarean section is not necessary for administering a postpartum tetanus shot.

A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find?

  • A. Thin cervical muscle.
  • B. An enlarged ovary.
  • C. Thick cervical mucus.
  • D. Pale pink vaginal wall.
Correct Answer: B

Rationale: An enlarged ovary is a common finding in early pregnancy due to the corpus luteum. Thin cervical muscle, thick cervical mucus, and a pale pink vaginal wall are not typical findings at this stage.

The nurse is assessing a pregnant patient who is at 14 weeks gestation and reports light vaginal bleeding. What is the nurse's priority action?

  • A. Monitor the patient's blood pressure and check for protein in the urine.
  • B. Call the healthcare provider immediately to assess for miscarriage.
  • C. Encourage the patient to rest and wait for symptoms to resolve.
  • D. Perform a pelvic exam to check for cervical dilation.
Correct Answer: B

Rationale: The correct answer is B: Call the healthcare provider immediately to assess for miscarriage. The priority action in this scenario is to promptly notify the healthcare provider to assess for potential complications like miscarriage, which could be life-threatening to the patient or fetus. This step ensures timely intervention and appropriate management. Monitoring blood pressure and urine for protein (Choice A) is important but not the immediate priority. Encouraging rest and waiting for symptoms to resolve (Choice C) may delay necessary medical intervention. Performing a pelvic exam (Choice D) could potentially worsen the situation if miscarriage is occurring. Thus, calling the healthcare provider for assessment is the most appropriate and urgent action to take in this situation.

Which foods equal 1 ounce serving size from the grain group? Select all that apply.

  • A. 1 bagel
  • B. 1 slice of bread
  • C. 1 cup cooked pasta
  • D. 1 tortilla
Correct Answer: B

Rationale: 1 slice of bread and 1 tortilla each equal 1 ounce serving size. A bagel and 1 cup cooked pasta exceed this size.

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