Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

Review Atrium Health Womens Care Maternal Fetal Monitoring related questions and content

A nurse is caring for a pregnant patient who is at 16 weeks gestation and is concerned about varicose veins. Which of the following interventions should the nurse recommend?

  • A. Wear tight compression stockings to reduce swelling.
  • B. Elevate the legs and avoid prolonged periods of standing.
  • C. Massage the affected area to improve circulation.
  • D. Apply ice packs to the legs for 15 minutes every hour.
Correct Answer: B

Rationale: The correct answer is B: Elevate the legs and avoid prolonged periods of standing. Elevating the legs helps improve circulation and reduces pressure on the veins, which can help alleviate varicose veins. Prolonged standing can worsen varicose veins by increasing pressure on the lower extremities.

A: Wearing tight compression stockings can further constrict blood flow and should be avoided.
C: Massaging the affected area may not be recommended as it can potentially increase the risk of blood clots in pregnant women.
D: Applying ice packs is not recommended for varicose veins as it may not effectively address the underlying issue of poor circulation.

You may also like to solve these questions

When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of?

  • A. Ambivalence.
  • B. Depression.
  • C. Anxiety.
  • D. Ecstasy.
Correct Answer: A

Rationale: Ambivalence is a common psychological response in early pregnancy as the client adjusts to the idea of being pregnant. Depression, anxiety, and ecstasy are less common at this stage.

The patient who has received a dose of preservative- free morphine (Duramorph) is beginning to experience pruritus. Which medication is used to treat this?

  • A. Low-dose naloxone infusion
  • B. Diphenhydramine
  • C. Dilaudid
  • D. Sublimaze
Correct Answer: B

Rationale: The correct answer is B: Diphenhydramine. Pruritus is a common side effect of opioid medications like morphine. Diphenhydramine, an antihistamine, can help relieve itching. Low-dose naloxone infusion (A) is used for opioid overdose, not pruritus. Dilaudid (C) and Sublimaze (D) are other opioid medications similar to morphine, and using them would not address the pruritus. Diphenhydramine is the most appropriate choice to alleviate the itching without interfering with the pain relief provided by the morphine.

A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.

  • A. Pap smear.
  • B. Mammogram.
  • C. Glucose challenge test.
  • D. Biophysical profile.
Correct Answer: A

Rationale: A Pap smear and complete blood count are standard assessments during the first prenatal visit. A mammogram, glucose challenge test, and biophysical profile are not typically performed at this stage.

A patient in labor is diagnosed with an occiput posterior (OP) fetal position. What is the most appropriate intervention to facilitate delivery?

  • A. Encourage the patient to push vigorously with each contraction
  • B. Position the patient on her hands and knees
  • C. Perform a cesarean section
  • D. Perform a cesarean section
Correct Answer: B

Rationale: The correct answer is B: Position the patient on her hands and knees. This position, known as the all-fours position, can help rotate the baby from an occiput posterior position to a more favorable position for delivery. Gravity assists in the rotation of the baby, making delivery easier. Encouraging the patient to push vigorously (option A) may not be effective in this situation as the baby may be facing the wrong way. Performing a cesarean section (option C and D) should be considered only if other interventions fail or if there are complications that necessitate surgical delivery.

The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?

  • A. Repeat the test in 1 week so that results can be trended based on this baseline result.
  • B. Contact the health care provider to discuss birth options for the patient.
  • C. Send the patient out for a meal and repeat the test to confirm that the results are valid.
  • D. Ask the patient to perform a fetal kick count assessment for the next 30 minutes and then reassess the patient.
Correct Answer: B

Rationale: A positive CST is an abnormal finding that may indicate fetal compromise, requiring immediate discussion of birth options.

Copyright © 2025 Nokea. All rights reserved.