Monitoring Baby During Labour

Monitoring Baby During Labour Related

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A nurse is caring for a pregnant patient who is at 26 weeks gestation and reports a sudden decrease in fetal movement. Which action should the nurse take first?

  • A. Encourage the patient to drink a sugary beverage and count fetal movements.
  • B. Monitor the patient's blood pressure and assess for any signs of hypertension.
  • C. Perform a nonstress test to assess fetal well-being.
  • D. Call the healthcare provider immediately to report the decrease in fetal movement.
Correct Answer: A

Rationale: The correct answer is A: Encourage the patient to drink a sugary beverage and count fetal movements. This action is appropriate as decreased fetal movement can indicate fetal distress, and the sugary beverage can stimulate the baby to move. If the baby responds with increased movements, it indicates a reassuring fetal status. If there is no improvement, further evaluation can be pursued.

Incorrect choices:
B: Monitoring blood pressure is not the priority in this situation as the main concern is fetal movement.
C: Performing a nonstress test is not the first action to take as it requires time and resources, which may delay immediate intervention.
D: While eventually contacting the healthcare provider is important, the immediate action should be to assess fetal well-being by encouraging fetal movements.

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A nurse is caring for a pregnant patient who is at 20 weeks gestation and reports experiencing leg cramps. What is the nurse's most appropriate intervention?

  • A. Recommend taking calcium supplements to relieve leg cramps.
  • B. Encourage the patient to elevate the legs and perform leg stretches.
  • C. Instruct the patient to rest and avoid any physical activity.
  • D. Administer pain medication as needed.
Correct Answer: B

Rationale: The correct answer is B because elevating the legs and performing leg stretches can help improve circulation and relieve leg cramps during pregnancy. This intervention promotes blood flow and prevents muscle fatigue. Calcium supplements (choice A) may be helpful for preventing leg cramps in some cases but are not the first-line intervention. Instructing the patient to rest (choice C) may worsen leg cramps due to decreased circulation. Administering pain medication (choice D) should be avoided unless necessary, as it does not address the root cause of the leg cramps.

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.

A nurse is assessing a postpartum person for signs of thrombophlebitis. What is the most common sign of thrombophlebitis?

  • A. redness and swelling in the calf
  • B. pain and swelling in the leg
  • C. hardening of the calf
  • D. heat intolerance in the leg
Correct Answer: B

Rationale: The correct answer is B: pain and swelling in the leg. Thrombophlebitis is inflammation of a vein due to a blood clot, commonly occurring in the lower extremities. Pain and swelling are classic symptoms due to the clot obstructing blood flow. Redness and heat may be present but are not as specific. Hardening of the calf is not a common sign. Heat intolerance in the leg is not a typical symptom of thrombophlebitis.

A woman in labor is diagnosed with preeclampsia. What is the most important action for the nurse to take?

  • A. Administer antihypertensive medications
  • B. Monitor the patient's blood pressure regularly
  • C. Administer magnesium sulfate to prevent seizures
  • D. Perform an emergency cesarean section
Correct Answer: C

Rationale: The correct answer is C: Administer magnesium sulfate to prevent seizures. This is the most important action because preeclampsia can lead to eclampsia, which is characterized by seizures. Magnesium sulfate is the first-line treatment to prevent seizures in preeclamptic patients. Administering antihypertensive medications (A) may be necessary to control blood pressure, but preventing seizures takes precedence. Monitoring blood pressure (B) is important but not the most critical action. Performing an emergency cesarean section (D) may be necessary in severe cases but is not the initial priority.

Which aspect of fetal diagnostic testing is most important to expectant parents?

  • A. Safety of the fetus
  • B. Duration of the test
  • C. Cost of the procedure
  • D. Physical discomfort caused by the procedure
Correct Answer: A

Rationale: Expectant parents are usually most concerned about the safety of the fetus when undergoing diagnostic testing.

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