Maternal Monitoring During Labor

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A nurse is caring for a pregnant patient who is 30 weeks gestation and is diagnosed with mild preeclampsia. Which of the following should be included in the plan of care?

  • A. Administer magnesium sulfate to prevent seizures.
  • B. Monitor blood pressure and assess for protein in the urine.
  • C. Encourage rest and restricted activity to lower blood pressure.
  • D. Perform daily blood glucose monitoring for gestational diabetes.
Correct Answer: B

Rationale: The correct answer is B: Monitor blood pressure and assess for protein in the urine. This is crucial in the care of a pregnant patient with mild preeclampsia at 30 weeks gestation. Monitoring blood pressure helps in assessing the severity of the condition and guiding treatment. Assessing for protein in the urine confirms the diagnosis and helps in monitoring kidney function and overall disease progression.

Explanation of why the other choices are incorrect:
A: Administering magnesium sulfate is typically indicated for severe preeclampsia to prevent seizures, not mild preeclampsia.
C: Encouraging rest and restricted activity can help manage symptoms but is not a primary intervention for mild preeclampsia.
D: Daily blood glucose monitoring is important for gestational diabetes, not specifically for mild preeclampsia.

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The embryo is termed a fetus at which stage of prenatal development?

  • A. 2 weeks
  • B. 4 weeks
  • C. 9 weeks
  • D. 16 weeks
Correct Answer: C

Rationale: The fetus (third stage of prenatal development) begins at the ninth week and continues until the 40th week of gestation or until birth.

What does optimal nursing care after an amniocentesis include?

  • A. Pushing fluids by mouth
  • B. Monitoring uterine activity
  • C. Placing the patient in a supine position for 2 hours
  • D. Applying a pressure dressing to the puncture site
Correct Answer: B

Rationale: Monitoring uterine activity after an amniocentesis is important to detect any contractions that may indicate complications.

The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above prepregnancy levels? Select all that apply.

  • A. Glucose.
  • B. Fibrinogen.
  • C. Hematocrit.
  • D. Bilirubin.
Correct Answer: B

Rationale: Fibrinogen levels increase to prevent excessive blood loss during delivery, and white blood cell count rises to protect against infection. Glucose, hematocrit, and bilirubin levels should remain within normal limits.

A nurse is caring for a pregnant patient who is 24 weeks gestation and has been diagnosed with anemia. What should the nurse teach the patient about managing this condition?

  • A. Increase iron-rich foods and take iron supplements as prescribed.
  • B. Rest frequently and avoid physical activity to prevent exhaustion.
  • C. Limit intake of dairy products to prevent iron deficiency.
  • D. Incorporate more vitamin D-rich foods into the diet to help the body absorb iron.
Correct Answer: A

Rationale: The correct answer is A because increasing iron-rich foods and taking iron supplements as prescribed is the standard treatment for managing anemia during pregnancy. Iron is essential for red blood cell production, which is crucial for both the mother and the developing fetus. Resting frequently (choice B) may help with fatigue but does not address the root cause of anemia. Limiting dairy intake (choice C) is not necessary and may lead to other nutritional deficiencies. Incorporating vitamin D-rich foods (choice D) can be beneficial for overall health but does not specifically address the management of anemia.

Why is pregnancy planning important for women of childbearing age?

  • A. Much organogenesis occurs before the missed period
  • B. Insurance preapproval is required
  • C. No more than 3 pregnancies are recommended
  • D. Pregnancies less than 2 years apart stress the cardiovascular system
Correct Answer: A

Rationale: Organogenesis occurs early in pregnancy, often before a missed period, making early intervention critical for fetal health.

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