External Maternal Monitoring

External Maternal Monitoring Related

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A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports difficulty breathing, especially when lying flat. Which action should the nurse take first?

  • A. Assess the patient's respiratory rate and oxygen saturation.
  • B. Encourage the patient to rest and limit physical activity.
  • C. Administer oxygen and prepare the patient for delivery.
  • D. Ask the patient to lie on her left side and monitor for improvement.
Correct Answer: A

Rationale: Step 1: Assessing the patient's respiratory rate and oxygen saturation is essential to determine the severity of the breathing difficulty.
Step 2: It helps in identifying potential respiratory issues or complications that may require immediate intervention.
Step 3: This data will guide the nurse in making informed decisions regarding further management and treatment.
Step 4: Encouraging rest (B) may be appropriate after assessment. Administering oxygen and preparing for delivery (C) is premature without assessment. Asking the patient to lie on her left side (D) without initial assessment may delay necessary interventions.

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A pregnant patient is at 28 weeks gestation and reports occasional headaches and blurred vision. What is the nurse's priority action?

  • A. Monitor the patient's blood pressure and check for signs of preeclampsia.
  • B. Administer pain relief and encourage the patient to rest.
  • C. Assess the patient's vision and schedule an appointment with an eye specialist.
  • D. Encourage the patient to drink fluids and avoid strenuous activity.
Correct Answer: A

Rationale: The correct answer is A: Monitor the patient's blood pressure and check for signs of preeclampsia.

1. Headaches and blurred vision are common symptoms of preeclampsia.
2. Preeclampsia is a serious condition that can lead to complications for both the mother and baby.
3. Monitoring blood pressure is crucial in diagnosing preeclampsia and determining the appropriate course of action.
4. Prompt assessment and management of preeclampsia are essential to prevent further complications.

Incorrect choices:
B: Administering pain relief and encouraging rest does not address the underlying cause of the symptoms, which could be preeclampsia.
C: Assessing vision and scheduling an appointment with an eye specialist does not address the urgent need to assess for preeclampsia.
D: Encouraging fluid intake and avoiding strenuous activity may be helpful in general, but they do not address the potential seriousness of preeclampsia in this

Where is the usual location for implantation of the zygote?

  • A. Upper section of the posterior uterine wall
  • B. Lower portion of the uterus near the cervical os
  • C. Inner third of the fallopian tube near the uterus
  • D. Lateral aspect of the uterine wall
Correct Answer: A

Rationale: The zygote usually implants in the upper section of the posterior uterine wall.

What is the purpose of initiating contractions in a contraction stress test (CST)?

  • A. Increase placental blood flow.
  • B. Identify fetal acceleration patterns.
  • C. Determine the degree of fetal activity.
  • D. Apply a stressful stimulus to the fetus.
Correct Answer: D

Rationale: The CST assesses fetal response to the stress of uterine contractions to determine if the fetus can tolerate labor.

Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.

  • A. Body mass index of 17 kg/m².
  • B. Rubella titer of 1:8.
  • C. Blood pressure of 100/60 mm Hg.
  • D. Hematocrit of 30%.
Correct Answer: A

Rationale: A low BMI, low rubella titer, and low hematocrit are all concerning findings that should be highlighted for further evaluation. A blood pressure of 100/60 mm Hg is within normal limits.

A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil?

  • A. Diarrhea.
  • B. Pedal edema.
  • C. Blurred vision.
  • D. Tinnitus.
Correct Answer: A

Rationale: Diarrhea is a known side effect of evening primrose oil. Pedal edema, blurred vision, and tinnitus are not typically associated with its use.

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