Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

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A nurse is caring for a laboring person who is experiencing irregular contractions. What is the priority intervention to address this issue?

  • A. Administer tocolytics
  • B. Administer analgesics
  • C. Monitor fetal heart rate
  • D. Increase oxytocin infusion
Correct Answer: A

Rationale: The correct answer is A: Administer tocolytics. Tocolytics help to inhibit uterine contractions and can be used to address irregular contractions during labor. This intervention helps to prevent preterm labor and promote fetal well-being. Administering analgesics (choice B) may help with pain management but does not address the underlying issue of irregular contractions. Monitoring fetal heart rate (choice C) is important but does not directly address the irregular contractions. Increasing oxytocin infusion (choice D) would worsen the situation by further stimulating contractions. Therefore, administering tocolytics is the priority intervention to address irregular contractions during labor.

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The nurse working in an outpatient obstetric office assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply.

  • A. 17 weeks’ gestation; denies feeling fetal movement.
  • B. 24 weeks’ gestation; fundal height at the umbilicus.
  • C. 27 weeks’ gestation; salivates excessively.
  • D. 34 weeks’ gestation; experiences uterine cramping.
Correct Answer: A

Rationale: Denial of fetal movement at 17 weeks and uterine cramping at 34 weeks are concerning findings that should be highlighted for further evaluation. Fundal height at the umbilicus at 24 weeks and excessive salivation at 27 weeks are within normal limits.

A nurse is caring for a laboring person who is in the first stage of labor. What is the most important intervention to support the person during this stage?

  • A. provide non-pharmacological pain relief
  • B. administer pain relief
  • C. administer analgesics
  • D. administer IV fluids
Correct Answer: A

Rationale: The correct answer is A: provide non-pharmacological pain relief. During the first stage of labor, it is crucial to prioritize non-pharmacological pain relief techniques such as breathing exercises, massage, and positioning to help manage the discomfort and promote comfort. This approach aligns with the goal of supporting the person's natural labor process and minimizing interventions that could potentially affect the progress of labor. Administering pain relief (B) or analgesics (C) may not be necessary or advisable at this stage unless specifically requested by the laboring person or deemed appropriate by the healthcare provider. Administering IV fluids (D) is important for hydration but is not the most critical intervention during the first stage of labor.

A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.

  • A. Pap smear.
  • B. Mammogram.
  • C. Glucose challenge test.
  • D. Biophysical profile.
Correct Answer: A

Rationale: A Pap smear and complete blood count are standard assessments during the first prenatal visit. A mammogram, glucose challenge test, and biophysical profile are not typically performed at this stage.

A woman is 36 weeks’ gestation. Which of the following tests will be done during her prenatal visit?

  • A. Glucose challenge test.
  • B. Amniotic fluid volume assessment.
  • C. Vaginal and rectal cultures.
  • D. Karyotype analysis.
Correct Answer: C

Rationale: Vaginal and rectal cultures are performed to check for Group B Streptococcus (GBS), which can affect the newborn. Glucose challenge tests are typically done earlier in pregnancy, and karyotype analysis is not routine.

The nurse’s role in diagnostic testing is to provide which of the following?

  • A. Advice to the couple
  • B. Information about the tests
  • C. Reassurance about fetal safety
  • D. Assistance with decision making
Correct Answer: B

Rationale: The nurse's role is to provide all necessary information regarding a procedure to enable the couple to make an informed decision.

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