Monitoring Baby During Labour

Monitoring Baby During Labour Related

Review Monitoring Baby During Labour related questions and content

A nurse is caring for a laboring person in the second stage of labor. What is the most appropriate intervention when the perineum starts to bulge?

  • A. apply warm compresses to the perineum
  • B. apply gentle pressure to the perineum
  • C. prepare the person for episiotomy
  • D. perform perineal massage
Correct Answer: B

Rationale: The correct answer is B: apply gentle pressure to the perineum. This intervention helps to support the perineum and reduce the risk of perineal tearing during childbirth. Applying gentle pressure can slow down the baby's descent and allow the perineum to stretch gradually, reducing the likelihood of severe tearing. This intervention is important to promote a safe and controlled delivery.

Incorrect answer explanations:
A: Applying warm compresses may provide some comfort but does not specifically address the need to support the perineum during childbirth.
C: Episiotomy should be considered only when necessary and not as a routine intervention when the perineum bulges.
D: Perineal massage is typically done during the prenatal period to help prepare the perineum for childbirth but is not the most appropriate intervention when the perineum starts to bulge during labor.

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What is the primary goal of fetal heart rate monitoring during the second stage of labor?

  • A. to predict when to bear down during contractions
  • B. to determine the strength of the uterine contractions
  • C. to evaluate fetal well-being
  • D. to monitor vital signs of the birthing person
Correct Answer: C

Rationale: The primary goal of fetal heart rate monitoring during the second stage of labor is to evaluate fetal well-being. This is crucial to ensure that the baby is tolerating labor and delivery well. Monitoring fetal heart rate helps identify any signs of distress or compromise in oxygen supply to the baby. It guides healthcare providers in making timely interventions if needed to prevent adverse outcomes. Choices A and B are incorrect because the primary goal is not about timing contractions or assessing uterine contractions strength. Choice D is incorrect as the focus is not on monitoring the vital signs of the birthing person but on assessing the well-being of the fetus.

The nurse is caring for a pregnant patient who is 38 weeks gestation and reports feeling pelvic pressure and mild cramping. What should the nurse do first?

  • A. Monitor the fetal heart rate and check for signs of labor.
  • B. Instruct the patient to rest and monitor the symptoms.
  • C. Assess the patient's blood pressure and urine for protein.
  • D. Perform a pelvic exam to assess for cervical dilation.
Correct Answer: A

Rationale: The correct answer is A because monitoring the fetal heart rate and checking for signs of labor are essential in assessing the well-being of the fetus and determining if the patient is in active labor. This step helps the nurse identify any potential complications and take appropriate actions promptly.

Choice B is incorrect because simply instructing the patient to rest may not address the underlying cause of pelvic pressure and cramping.

Choice C is incorrect as assessing blood pressure and urine for protein is not the priority in this situation.

Choice D is incorrect because performing a pelvic exam should be done after monitoring fetal well-being and ruling out active labor.

A client asks the nurse, “Could you explain how the baby’s blood and my blood separate at delivery?” Which of the following responses is appropriate for the nurse to make?

  • A. When the placenta is born, the circulatory systems separate.
  • B. When the doctor clamps the cord, the blood stops mixing.
  • C. The separation happens after the baby takes the first breath. The baby’s oxygen no longer has to come from you.
  • D. The blood actually never mixes. Your blood supply and the baby’s blood supply are completely separate.
Correct Answer: D

Rationale: During pregnancy, the mother's and baby's blood supplies do not mix. The placenta acts as a barrier and facilitates the exchange of nutrients, gases, and waste products between the maternal and fetal bloodstreams without direct mixing. This ensures that each individual maintains their own circulatory system.

What advice should the nurse give regarding herbal supplements during pregnancy?

  • A. Herbals are safe because they're natural
  • B. Licorice and cat’s claw are safe
  • C. The FDA has approved herbals for pregnancy
  • D. Discuss everything with a healthcare provider
Correct Answer: D

Rationale: Herbal supplements may pose risks during pregnancy, and their safety is not well-established. Consulting a healthcare provider is essential.

What is the primary purpose of assessing cervical dilation during labor?

  • A. to assess the progress of labor
  • B. to identify the need for interventions
  • C. to assess for complications
  • D. to monitor fetal position
Correct Answer: A

Rationale: The primary purpose of assessing cervical dilation during labor is to evaluate the progress of labor. Cervical dilation indicates how far the labor has advanced and helps determine if the labor is proceeding normally. Monitoring dilation helps healthcare providers make informed decisions about the timing of interventions and the overall management of labor. It does not directly assess the need for interventions (choice B), complications (choice C), or fetal position (choice D). These factors can be assessed through other means, but the main focus of assessing cervical dilation is to track the progression of labor.

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