Monitoring Baby During Labour

Monitoring Baby During Labour Related

Review Monitoring Baby During Labour related questions and content

A nurse is caring for a pregnant patient who is 28 weeks gestation and has been diagnosed with gestational diabetes. What is the nurse's priority teaching for this patient?

  • A. Encourage the patient to exercise vigorously to manage blood sugar levels.
  • B. Monitor blood glucose levels regularly and follow a balanced diet.
  • C. Instruct the patient to limit fluid intake to prevent complications.
  • D. Recommend insulin therapy immediately to control blood sugar levels.
Correct Answer: B

Rationale: The correct answer is B: Monitor blood glucose levels regularly and follow a balanced diet. This is the priority teaching for a pregnant patient with gestational diabetes because it focuses on managing blood sugar levels effectively. Regular monitoring helps the patient understand how their body responds to different foods and activities. Following a balanced diet helps maintain stable blood sugar levels and provides essential nutrients for the baby's development.

A: Encouraging vigorous exercise may not be safe during pregnancy, especially for a patient with gestational diabetes.
C: Limiting fluid intake is not a priority teaching for gestational diabetes and may lead to dehydration, which can be harmful during pregnancy.
D: Recommending insulin therapy immediately is not the first-line treatment for gestational diabetes. Lifestyle modifications like diet and exercise are usually tried first.

You may also like to solve these questions

The nurse is caring for a 32-year-old pregnant patient who is 20 weeks gestation and has a BMI of 40. Which of the following conditions should the nurse monitor for more closely?

  • A. Gestational diabetes and preeclampsia
  • B. Hyperemesis gravidarum
  • C. Iron-deficiency anemia
  • D. Intrauterine growth restriction (IUGR)
Correct Answer: A

Rationale: The correct answer is A: Gestational diabetes and preeclampsia. A BMI of 40 indicates obesity, which increases the risk of developing gestational diabetes and preeclampsia. Obesity is a significant risk factor for these conditions due to the increased strain on the body during pregnancy. Gestational diabetes can lead to complications for both the mother and the baby, while preeclampsia can be life-threatening if not managed properly. Monitoring for these conditions closely is crucial in this high-risk patient.

Incorrect Choices:
B: Hyperemesis gravidarum - This condition is characterized by severe nausea and vomiting during pregnancy and is not directly related to the patient's BMI.
C: Iron-deficiency anemia - While obesity can impact iron levels, it is not the primary concern in this scenario.
D: Intrauterine growth restriction (IUGR) - While obesity can increase the risk of certain pregnancy complications, IUGR is not directly linked to the patient's

The nurse is interviewing a 38-week gestation Muslim woman.

  • A. Do you plan to breastfeed your baby?
  • B. What do you plan to name the baby?
  • C. Which pediatrician do you plan to use?
  • D. How do you feel about having an episiotomy?
Correct Answer: D

Rationale: Questions about episiotomy might be culturally sensitive or inappropriate without prior discussion of preferences, especially in certain cultural contexts like Islam.

The nurse is caring for a pregnant patient who is 24 weeks gestation and reports nausea, vomiting, and weight loss. What is the most appropriate action for the nurse to take?

  • A. Instruct the patient to eat a high-protein diet and avoid fluids during meals.
  • B. Encourage the patient to rest and avoid any exercise.
  • C. Assess the patient's hydration status and notify the healthcare provider if necessary.
  • D. Recommend over-the-counter anti-nausea medications to control symptoms.
Correct Answer: C

Rationale: The correct answer is C: Assess the patient's hydration status and notify the healthcare provider if necessary.

Rationale:
1. Nausea, vomiting, and weight loss in pregnancy may indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances.
2. Assessing hydration status is crucial to determine the severity of the condition and guide appropriate interventions.
3. Notifying the healthcare provider allows for further evaluation, possible treatment adjustments, and monitoring to prevent complications.

Summary:
A: Instructing the patient to eat a high-protein diet and avoid fluids during meals does not address the immediate concern of dehydration and may worsen symptoms.
B: Encouraging the patient to rest and avoid exercise is important but does not address the primary issue of dehydration.
D: Recommending over-the-counter anti-nausea medications may provide symptomatic relief but does not address the underlying cause or hydration status.

A client enters the prenatal clinic. She states that she missed her period yesterday and used a home pregnancy test this morning. She states that the results were negative, but 'I still think I am pregnant.' Which of the following statements would be appropriate for the nurse to make at this time?

  • A. Your period is probably just irregular.
  • B. We could do a blood test to check.
  • C. Home pregnancy test results are very accurate.
  • D. My recommendation would be to repeat the test in one week.
Correct Answer: B

Rationale: A blood test is more accurate than a home pregnancy test, especially early in pregnancy. Repeating the test in a week is also an option, but a blood test provides more immediate and reliable results.

What is true about dizygotic twins?

  • A. Fertilized egg divided rapidly
  • B. Two ova were expelled
  • C. Share one placenta
  • D. Same sex and blood type
Correct Answer: B

Rationale: Dizygotic twins result from the fertilization of two separate ova, leading to genetically distinct siblings.

Copyright © 2025 Nokea. All rights reserved.