Advanced Maternal Age Monitoring

Advanced Maternal Age Monitoring Related

Review Advanced Maternal Age Monitoring related questions and content

A nurse is assessing a pregnant patient who is at 38 weeks gestation and reports a sudden decrease in fetal movement. What is the nurse's priority action?

  • A. Encourage the patient to drink a cold beverage and lie down to stimulate fetal movement.
  • B. Ask the patient to monitor fetal movements for 24 hours and report any changes.
  • C. Perform a nonstress test and assess fetal heart rate.
  • D. Wait until the next prenatal appointment to check for fetal movement.
Correct Answer: C

Rationale: The correct answer is C, performing a nonstress test and assessing fetal heart rate. This is the priority action because a sudden decrease in fetal movement at 38 weeks gestation could indicate fetal distress or potential complications. A nonstress test helps evaluate fetal well-being by monitoring the fetal heart rate in response to fetal movement. This test provides immediate information about the baby's condition and any need for further intervention. Encouraging the patient to drink a cold beverage and lie down may not be effective in this situation, as it does not address the underlying cause of decreased fetal movement. Asking the patient to monitor fetal movements for 24 hours could delay necessary intervention, and waiting until the next prenatal appointment could lead to missed opportunities for timely assessment and management of fetal distress.

You may also like to solve these questions

A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply.

  • A. Backache.
  • B. Urinary frequency.
  • C. Dyspnea on exertion.
  • D. Fatigue.
Correct Answer: A

Rationale: Backache, urinary frequency, and fatigue are common symptoms during the first trimester. Dyspnea on exertion is more common later in pregnancy.

The nurse is providing prenatal education to a pregnant patient about the signs of labor. Which of the following symptoms should the nurse instruct the patient to report immediately?

  • A. Feeling pressure in the lower abdomen
  • B. A bloody show or the loss of the mucous plug
  • C. Regular contractions every 5 minutes for 1 hour
  • D. A sudden increase in fetal movements
Correct Answer: C

Rationale: The correct answer is C: Regular contractions every 5 minutes for 1 hour. This is a sign of active labor and indicates that the patient should seek immediate medical attention. Contractions at this frequency and duration suggest that labor is progressing and the patient should go to the hospital. Choices A, B, and D are not indicative of active labor and do not require immediate medical attention. Feeling pressure in the lower abdomen may be a normal part of pregnancy. A bloody show or loss of the mucous plug can be early signs of labor but do not require immediate attention unless accompanied by other symptoms. A sudden increase in fetal movements is generally considered a positive sign of fetal well-being.

A client who was seen in the prenatal clinic at 20 weeks’ gestation weighed 128 lb at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks’ gestation?

  • A. 129 to 130 lb.
  • B. 131 to 132 lb.
  • C. 133 to 134 lb.
  • D. 135 to 136 lb.
Correct Answer: C

Rationale: A weight gain of 1 lb per week is expected during the second and third trimesters. Therefore, the client should gain approximately 4 lb between 20 and 24 weeks.

What alternative could the nurse suggest to someone practicing pica?

  • A. Replace laundry starch with salt
  • B. Replace ice with frozen fruit juice
  • C. Replace soap with cream cheese
  • D. Replace soil with uncooked pie crust
Correct Answer: B

Rationale: Replacing ice with frozen fruit juice provides a safer alternative while satisfying the craving for cold substances.

A biophysical profile is performed on a pregnant patient. The results show a nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of the hand indicating the presence of fetal tone, and adequate amniotic fluid index (AFI). What is the correct interpretation of this test result?

  • A. A score of 10 would indicate that the results are equivocal.
  • B. A score of 8 would indicate normal results.
  • C. A score of 6 would indicate that birth should be considered as a possible treatment option.
  • D. A score of 9 would indicate reassurance.
Correct Answer: B

Rationale: A biophysical profile score of 8-10 is considered normal, indicating fetal well-being.

Copyright © 2025 Nokea. All rights reserved.