Maternal Monitoring

Maternal Monitoring Related

Review Maternal Monitoring related questions and content

A nurse is caring for a postpartum person who is breastfeeding. What is the most important action to promote effective breastfeeding?

  • A. assist with positioning
  • B. administer analgesics
  • C. administer IV fluids
  • D. assist with breastfeeding positioning
Correct Answer: B

Rationale: The correct answer is B: administer analgesics. Pain management is crucial to promote effective breastfeeding as it can help the postpartum person be more comfortable and relaxed during breastfeeding sessions. This can lead to better latch and milk transfer, ultimately enhancing the breastfeeding experience.

A: assist with positioning - While positioning is important for successful breastfeeding, it is not the most crucial action compared to pain management.

C: administer IV fluids - IV fluids are not directly related to promoting effective breastfeeding. Hydration is important but not the most critical factor in this scenario.

D: assist with breastfeeding positioning - This choice is similar to option A and while important, it is not as critical as ensuring proper pain management for effective breastfeeding.

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The nurse asks a woman about how the woman’s husband is dealing with the pregnancy.

  • A. My husband is ready for the pregnancy to end so that we can have sex again.
  • B. My husband has gained quite a bit of weight during this pregnancy.
  • C. My husband seems more worried about our finances now than before the pregnancy.
  • D. My husband plays his favorite music for my belly so the baby will learn to like it.
Correct Answer: A

Rationale: If the husband is overly focused on resuming sexual activity postpartum, it might indicate a lack of emotional support for the pregnant partner, warranting counseling.

A pregnant patient at 36 weeks gestation reports feeling short of breath when lying flat. What is the most appropriate recommendation for the nurse to make?

  • A. Encourage the patient to lie on her left side to improve circulation.
  • B. Administer oxygen as prescribed to alleviate breathing difficulties.
  • C. Instruct the patient to rest in an upright position to reduce pressure on the diaphragm.
  • D. Advise the patient to take deep breaths and monitor symptoms.
Correct Answer: C

Rationale: The correct answer is C because instructing the patient to rest in an upright position helps reduce pressure on the diaphragm, allowing for better lung expansion and improved breathing capacity. This position can alleviate the shortness of breath experienced when lying flat due to the growing uterus pressing on the diaphragm. Option A is incorrect because lying on the left side may not alleviate the pressure on the diaphragm as effectively as an upright position. Option B may provide temporary relief but does not address the underlying cause. Option D focuses on symptom management rather than addressing the positional discomfort caused by the pregnancy.

What is the most common site for fertilization?

  • A. Lower segment of the uterus
  • B. Outer third of the fallopian tube near the ovary
  • C. Upper portion of the uterus
  • D. Area of the fallopian tube farthest from the ovary
Correct Answer: B

Rationale: Fertilization takes place in the outer third of the fallopian tube, which is closest to the ovary.

A pregnant woman who is 20 weeks gestation asks about the risk of consuming caffeine during pregnancy. Which of the following responses is most appropriate?

  • A. It is safe to consume up to 200 mg of caffeine per day during pregnancy.
  • B. You should avoid caffeine completely during pregnancy.
  • C. Moderate caffeine consumption is okay, but avoid drinking coffee in the afternoon.
  • D. Caffeine has no impact on your pregnancy, so you can drink it as desired.
Correct Answer: A

Rationale: The correct answer is A because current guidelines suggest that consuming up to 200 mg of caffeine per day is considered safe during pregnancy. This amount is unlikely to harm the developing fetus. Excessive caffeine intake has been associated with an increased risk of miscarriage and low birth weight.

Option B is incorrect as complete avoidance of caffeine is not necessary, but rather moderation is key. Option C is partially correct in emphasizing moderation but the recommendation to avoid coffee in the afternoon is not supported by evidence. Option D is incorrect as caffeine does have an impact on pregnancy, and unrestricted consumption is not advisable.

Which analysis of maternal serum is the best predictor of chromosomal abnormalities in the fetus?

  • A. Biophysical profile
  • B. Multiple-marker screening
  • C. Lecithin-to-sphingomyelin ratio
  • D. Blood type and crossmatch of maternal and fetal serum
Correct Answer: B

Rationale: Multiple-marker screening analyzes maternal serum for abnormal levels of AFP, hCG, inhibin A, and estriol to detect chromosomal defects.

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