External Maternal Monitoring

External Maternal Monitoring Related

Review External Maternal Monitoring related questions and content

A nurse is caring for a postpartum person who is at risk for hemorrhage. What is the most appropriate action to prevent postpartum hemorrhage?

  • A. monitor vital signs
  • B. administer uterotonic medications
  • C. assess uterine tone
  • D. perform fundal massage
Correct Answer: B

Rationale: The correct answer is B: administer uterotonic medications. Administering uterotonic medications helps prevent postpartum hemorrhage by promoting uterine contractions, which helps to control bleeding. The step-by-step rationale for this answer is as follows: 1. Uterotonic medications, such as oxytocin or misoprostol, are recommended as a prophylactic measure to prevent postpartum hemorrhage. 2. These medications help the uterus to contract, which compresses blood vessels and reduces the risk of excessive bleeding. 3. Administering uterotonic medications is a proactive approach to managing postpartum hemorrhage in high-risk individuals. Summary: Monitoring vital signs (choice A) is important but does not directly prevent hemorrhage. Assessing uterine tone (choice C) is helpful but may not be sufficient in preventing hemorrhage. Performing fundal massage (choice D) can help manage hemorrhage but is not as effective as administering ut

You may also like to solve these questions

The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about preterm labor. Which of the following is a key sign of preterm labor?

  • A. Regular contractions every 10 minutes or less
  • B. Decreased fetal movement
  • C. Mild cramping and back pain
  • D. Increased energy levels and appetite
Correct Answer: A

Rationale: The correct answer is A: Regular contractions every 10 minutes or less. This is a key sign of preterm labor because regular contractions at this frequency could indicate the onset of labor before the full term. Contractions help to thin and dilate the cervix, leading to the birth of the baby. Decreased fetal movement (B) is a concerning sign but not a definitive indicator of preterm labor. Mild cramping and back pain (C) can be common in pregnancy and may not necessarily indicate preterm labor. Increased energy levels and appetite (D) are not typical signs of preterm labor, as the body usually shows signs of preparing for labor rather than increased energy levels.

The vessels comprising the umbilical cord are cushioned and protected by a substance called _____________ _____________.

  • A. Wharton’s jelly
  • B. Endoderm
  • C. jelly
  • D. haploid
Correct Answer: A

Rationale: Wharton’s jelly is a gelatinous substance surrounding the blood vessels in the umbilical cord. It cushions and protects the vessels from compression and damage during pregnancy.

A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?

  • A. Congratulations, you and your family must be so happy.
  • B. Have you told the baby’s father yet?
  • C. How do you feel about the results?
  • D. Please tell me when your last menstrual period was.
Correct Answer: C

Rationale: It is important to assess the client's emotional response to the pregnancy test result before providing further guidance or congratulations.

A nurse is monitoring a laboring person for signs of fetal distress. Which finding is most indicative of fetal distress?

  • A. bradycardia
  • B. tachycardia
  • C. late decelerations
  • D. variable decelerations
Correct Answer: A

Rationale: The correct answer is A: bradycardia. Fetal distress is often indicated by a decreased fetal heart rate (bradycardia), which can be a sign of inadequate oxygenation. Bradycardia is a serious concern in labor and requires immediate intervention. Tachycardia (B) is an increased heart rate, which can indicate fetal distress but is not as specific as bradycardia. Late decelerations (C) are associated with uteroplacental insufficiency, not necessarily fetal distress. Variable decelerations (D) are often related to cord compression and can be a sign of fetal distress, but bradycardia is a more direct indicator.

A pregnant patient is at 34 weeks gestation and reports frequent headaches and visual changes. What should the nurse do first?

  • A. Monitor the patient's blood pressure and assess for signs of preeclampsia.
  • B. Encourage the patient to rest and drink plenty of fluids.
  • C. Administer pain medication as prescribed to relieve the headache.
  • D. Schedule an appointment with an eye specialist to check for vision changes.
Correct Answer: A

Rationale: The correct answer is A. At 34 weeks gestation, headaches and visual changes can be signs of preeclampsia, a serious pregnancy complication. The nurse should first monitor the patient's blood pressure as elevated BP is a key indicator of preeclampsia. Assessing for other signs like proteinuria and edema is crucial for early detection and timely intervention. Encouraging rest and fluids (choice B) may not address the underlying issue. Administering pain medication (choice C) only masks symptoms without addressing the potential serious condition. Scheduling an eye specialist appointment (choice D) is not the priority as the symptoms are more indicative of a systemic issue like preeclampsia.

Copyright © 2025 Nokea. All rights reserved.