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 nurse is assisting a laboring person with a vacuum extraction. What is the most important nursing action to ensure a safe procedure?

  • A. monitor fetal heart rate continuously
  • B. prepare the person for a cesarean section
  • C. monitor for signs of uterine rupture
  • D. assist with positioning the person
Correct Answer: B

Rationale: The correct answer is B: prepare the person for a cesarean section. In the scenario of vacuum extraction, if there are complications or the procedure is unsuccessful, the person may need to undergo an emergency cesarean section. By preparing the person for this possibility, the nurse ensures timely intervention if needed, prioritizing the safety of both the person and the baby. Monitoring fetal heart rate continuously (A) is important but not the most crucial action in this case. Monitoring for signs of uterine rupture (C) is not directly related to vacuum extraction. Assisting with positioning (D) is important but not as critical as preparing for a potential cesarean section.

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The patient who has received a dose of preservative- free morphine (Duramorph) is beginning to experience pruritus. Which medication is used to treat this?

  • A. Low-dose naloxone infusion
  • B. Diphenhydramine
  • C. Dilaudid
  • D. Sublimaze
Correct Answer: B

Rationale: The correct answer is B: Diphenhydramine. Pruritus is a common side effect of opioid medications like morphine. Diphenhydramine, an antihistamine, can help relieve itching. Low-dose naloxone infusion (A) is used for opioid overdose, not pruritus. Dilaudid (C) and Sublimaze (D) are other opioid medications similar to morphine, and using them would not address the pruritus. Diphenhydramine is the most appropriate choice to alleviate the itching without interfering with the pain relief provided by the morphine.

A nurse is educating a pregnant patient about the importance of iron supplementation during pregnancy. Which statement by the patient indicates effective teaching?

  • A. I will take iron supplements daily, even if I feel fine.
  • B. I will only take iron supplements if my hemoglobin levels drop.
  • C. I will stop taking iron supplements after the second trimester.
  • D. I will take iron supplements only when I experience symptoms of anemia.
Correct Answer: A

Rationale: Rationale: Choice A is correct because taking iron supplements daily, even if feeling fine, ensures the patient maintains adequate iron levels throughout pregnancy. Iron is crucial for the mother and baby's health, preventing anemia and complications. Choice B is incorrect as waiting for hemoglobin levels to drop may lead to deficiency. Choice C is incorrect as iron needs remain high throughout pregnancy. Choice D is incorrect as symptoms of anemia indicate an existing deficiency rather than prevention.

Put the embryonic/fetal characteristics in the correct order of occurrence from week 3 to week 36 of gestation. Put a comma and space between each answer choice (a, b, c, d, etc.)

  • A. Subcutaneous fat is present.
  • B. Bone marrow forms blood cells.
  • C. Spinal cord and brain appear.
  • D. Skull and jaw ossify.
Correct Answer: C

Rationale: Primitive spinal cord and brain appear at 3 weeks. Neural tube closes at 4 weeks. Skull and jaw ossify at 6 weeks. Spleen stops forming blood cells and bone marrow takes over at 29 weeks. Subcutaneous fat is present at 36 weeks. This sequence reflects the chronological progression of key developmental milestones.

What is the total number of chromosomes contained in a mature sperm or ovum?

  • A. 22
  • B. 23
  • C. 44
  • D. 46
Correct Answer: B

Rationale: Gametes (sex chromosomes) contain 23 chromosomes.

When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of?

  • A. Ambivalence.
  • B. Depression.
  • C. Anxiety.
  • D. Ecstasy.
Correct Answer: A

Rationale: Ambivalence is a common psychological response in early pregnancy as the client adjusts to the idea of being pregnant. Depression, anxiety, and ecstasy are less common at this stage.

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