External Maternal Monitoring

External Maternal Monitoring Related

Review External Maternal Monitoring related questions and content

A nurse is caring for a laboring person who is in the third stage of labor. What is the most appropriate nursing intervention during this stage?

  • A. assist with the delivery of the placenta
  • B. prepare for a vaginal birth
  • C. administer oxytocin
  • D. apply gentle pressure to the uterus
Correct Answer: A

Rationale: The correct answer is A: assist with the delivery of the placenta. During the third stage of labor, the placenta needs to be delivered. This is done by gently applying traction to the umbilical cord while supporting the uterus to facilitate the expulsion of the placenta. This step is crucial to prevent postpartum hemorrhage.

Choice B (prepare for a vaginal birth) is incorrect because the person is already in the third stage of labor, which means the baby has been delivered and they are now focusing on delivering the placenta.

Choice C (administer oxytocin) is incorrect because while oxytocin may be used to help control bleeding after the placenta is delivered, it is not the most appropriate intervention during the third stage of labor.

Choice D (apply gentle pressure to the uterus) is incorrect because direct pressure to the uterus is not the primary intervention during the third stage of labor; assisting with the delivery of the placenta takes precedence.

You may also like to solve these questions

Which statement about fetal circulation is correct?

  • A. The foramen ovale is between ventricles
  • B. Umbilical vein contains oxygen-poor blood
  • C. Right atrium contains mixed blood
  • D. Ductus venosus lies between aorta and pulmonary artery
Correct Answer: C

Rationale: The right atrium contains both oxygen-rich and oxygen-poor blood due to the unique fetal circulatory system.

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 client who is a vegan. Which of the following foods should the nurse suggest the client consume as substitutes for restricted foods?

  • A. Tofu, legumes, broccoli.
  • B. Corn, yams, green beans.
  • C. Potatoes, parsnips, turnips.
  • D. Cheese, yogurt, fish.
Correct Answer: A

Rationale: Tofu, legumes, and broccoli provide essential nutrients like protein, iron, and calcium that are often lacking in a vegan diet. Corn, yams, and green beans offer carbohydrates and vitamins but lack sufficient protein sources. Potatoes, parsnips, and turnips are starchy vegetables with limited nutritional variety. Cheese, yogurt, and fish are non-vegan options.

A 36-week pregnant woman is admitted with ruptured membranes and a positive test for Group B Streptococcus (GBS). What is the appropriate nursing action?

  • A. Start prophylactic antibiotics for the patient
  • B. Perform a cesarean section
  • C. Administer IV fluids
  • D. Provide patient education on labor progression
Correct Answer: A

Rationale: The correct answer is A: Start prophylactic antibiotics for the patient. In this scenario, the woman is at risk for ascending infection due to ruptured membranes and positive GBS test. Prophylactic antibiotics are necessary to prevent neonatal GBS sepsis. Performing a cesarean section is not indicated unless there are other obstetric indications. Administering IV fluids is important but not the priority in this case. Patient education on labor progression is not the immediate concern when the woman is at risk for infection.

A pregnant patient at 28 weeks gestation reports severe heartburn. What is the nurse's most appropriate recommendation?

  • A. Take over-the-counter antacids regularly to alleviate heartburn.
  • B. Eat smaller meals more frequently throughout the day.
  • C. Lie down immediately after eating to help with digestion.
  • D. Drink large amounts of water with meals to dilute stomach acid.
Correct Answer: B

Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This recommendation helps prevent overeating, which can contribute to heartburn. Smaller meals reduce pressure on the stomach, decreasing the likelihood of acid reflux. Eating more frequently also helps maintain stable blood sugar levels, which can further alleviate heartburn symptoms.

Explanation for other choices:
A: Over-the-counter antacids may provide temporary relief, but taking them regularly can lead to potential risks during pregnancy.
C: Lying down immediately after eating can worsen heartburn symptoms as it allows stomach acid to flow back up into the esophagus.
D: Drinking large amounts of water with meals can dilute stomach acid, but it may also distend the stomach and increase pressure, leading to heartburn.

Copyright © 2025 Nokea. All rights reserved.