External Maternal Monitoring

External Maternal Monitoring Related

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A nurse is assessing a pregnant patient at 36 weeks gestation who complains of pain in the lower abdomen and back. The nurse finds no signs of labor. Which of the following interventions should the nurse implement?

  • A. Encourage the patient to rest and monitor for any changes in symptoms.
  • B. Administer pain medication and schedule an appointment with the doctor.
  • C. Perform a pelvic exam to determine the cause of the pain.
  • D. Instruct the patient to remain in bed for the rest of the day.
Correct Answer: A

Rationale: The correct answer is A: Encourage the patient to rest and monitor for any changes in symptoms. At 36 weeks gestation, the patient might be experiencing Braxton Hicks contractions or round ligament pain, which are common in late pregnancy. Encouraging rest allows for potential relief of discomfort. Monitoring for any changes in symptoms is essential to rule out preterm labor. Option B is incorrect as administering pain medication without identifying the cause may mask symptoms of preterm labor. Option C is incorrect as performing a pelvic exam could potentially cause harm if the patient is experiencing preterm labor. Option D is incorrect as prolonged bed rest is not recommended in pregnancy and may not alleviate the pain or address the underlying cause.

You may also like to solve these questions

Which is equivalent to a 2 oz protein serving?

  • A. 4 tbsp peanut butter
  • B. 2 eggs
  • C. 1 cup cooked lima beans
  • D. 2 ounces mixed nuts
Correct Answer: B

Rationale: Two eggs are equivalent to a 2 oz protein serving, providing approximately 12 grams of protein.

The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about preterm labor. Which of the following is a key sign of preterm labor?

  • A. Regular contractions every 10 minutes or less
  • B. Decreased fetal movement
  • C. Mild cramping and back pain
  • D. Increased energy levels and appetite
Correct Answer: A

Rationale: The correct answer is A: Regular contractions every 10 minutes or less. This is a key sign of preterm labor because regular contractions at this frequency could indicate the onset of labor before the full term. Contractions help to thin and dilate the cervix, leading to the birth of the baby. Decreased fetal movement (B) is a concerning sign but not a definitive indicator of preterm labor. Mild cramping and back pain (C) can be common in pregnancy and may not necessarily indicate preterm labor. Increased energy levels and appetite (D) are not typical signs of preterm labor, as the body usually shows signs of preparing for labor rather than increased energy levels.

What complication is associated with pica during pregnancy?

  • A. Hypothyroidism
  • B. Iron-deficiency anemia
  • C. Hypercalcemia
  • D. Overexposure to zinc
Correct Answer: B

Rationale: Pica often leads to nutritional deficiencies, particularly iron-deficiency anemia, due to the ingestion of non-food substances.

Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.

  • A. Body mass index of 17 kg/m².
  • B. Rubella titer of 1:8.
  • C. Blood pressure of 100/60 mm Hg.
  • D. Hematocrit of 30%.
Correct Answer: A

Rationale: A low BMI, low rubella titer, and low hematocrit are all concerning findings that should be highlighted for further evaluation. A blood pressure of 100/60 mm Hg is within normal limits.

A pregnant patient at 30 weeks gestation is complaining of severe heartburn. What should the nurse recommend?

  • A. Lie down after meals to improve digestion.
  • B. Drink a large amount of water after eating.
  • C. Eat smaller meals more frequently and avoid lying down after meals.
  • D. Take antacids regularly to relieve heartburn.
Correct Answer: C

Rationale: The correct answer is C: Eat smaller meals more frequently and avoid lying down after meals. This is the best recommendation for the pregnant patient experiencing severe heartburn at 30 weeks gestation. Eating smaller meals more frequently can help reduce the amount of stomach acid produced, thus decreasing the likelihood of heartburn. Avoiding lying down after meals can prevent stomach acid from flowing back into the esophagus, further reducing heartburn symptoms.

Rationale for why other choices are incorrect:
A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus.
B: Drinking a large amount of water after eating may worsen heartburn by increasing stomach pressure and pushing stomach acid back up.
D: Taking antacids regularly may provide temporary relief but is not addressing the root cause of the heartburn and may not be safe for long-term use during pregnancy.

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