Maternal Monitoring

Maternal Monitoring Related

Review Maternal Monitoring related questions and content

A nurse is caring for a pregnant patient who is at 28 weeks gestation and has a history of hypertension. Which of the following interventions is the most appropriate to prevent complications?

  • A. Encourage the patient to increase salt intake to raise blood pressure.
  • B. Monitor the patient's blood pressure regularly and check for protein in the urine.
  • C. Increase physical activity and exercise to reduce blood pressure.
  • D. Limit fluid intake to prevent swelling and lower blood pressure.
Correct Answer: B

Rationale: The correct answer is B: Monitor the patient's blood pressure regularly and check for protein in the urine. This is the most appropriate intervention because the patient has a history of hypertension, which can lead to complications like preeclampsia. Regular blood pressure monitoring and urine protein checks are essential in detecting early signs of preeclampsia, allowing for timely intervention to prevent complications.

Choice A: Encouraging the patient to increase salt intake would worsen hypertension and increase the risk of complications.

Choice C: Increasing physical activity and exercise may not be safe for a pregnant patient with hypertension and can potentially raise blood pressure.

Choice D: Limiting fluid intake can lead to dehydration and is not recommended during pregnancy, especially with a history of hypertension.

You may also like to solve these questions

Which food can a lactose-intolerant pregnant woman consume for calcium?

  • A. Turnip greens
  • B. Green beans
  • C. Cantaloupe
  • D. Nectarines
Correct Answer: A

Rationale: Turnip greens are rich in calcium, making them a suitable alternative for lactose-intolerant individuals.

A patient at the obstetric office has just learned she is pregnant with dizygotic twins. What facts will the nurse include when educating this patient? (Select all that apply.)

  • A. Dizygotic twins are the same sex.
  • B. Dizygotic twins share a placenta.
  • C. Dizygotic pregnancies tend to repeat in families.
  • D. Dizygotic twins have separate chorions.
Correct Answer: C

Rationale: Dizygotic twins tend to repeat in families and have separate chorions. They can be the same sex or different sexes and have their own placenta. The incidence of dizygotic twins increases with maternal age rather than decreases.

A patient who was admitted to the delivery room undergoes an ultrasound, which reveals that the sacrum is the presenting part; the lie is longitudinal, with both the hips and knees in flexion. Which describes this fetal presentation?

  • A. Cephalic
  • B. Complete breech
  • C. Frank breech
  • D. Footling breech
Correct Answer: C

Rationale: The correct answer is A: Cephalic. In this presentation, the sacrum is the presenting part, indicating the baby is head down, which is characteristic of a cephalic presentation. Additionally, the lie is longitudinal, further supporting the cephalic presentation. The flexion of both hips and knees is also consistent with the normal positioning of a baby in the cephalic presentation.

Summary of other choices:
B: Complete breech - In a complete breech presentation, the baby is bottom down with both hips and knees flexed, but the sacrum would not be the presenting part.
C: Frank breech - In a frank breech presentation, the baby's buttocks are the presenting part with the legs extended and the feet near the head.
D: Footling breech - In a footling breech presentation, one or both feet are the presenting part, with the hips and knees extended, not flexed as described in the scenario.

What is the primary purpose of a vaginal examination during the second stage of labor?

  • A. to assess fetal descent
  • B. to evaluate uterine progress
  • C. to assess cervical dilation
  • D. to assess fetal position
Correct Answer: B

Rationale: The correct answer is B because during the second stage of labor, the primary purpose of a vaginal examination is to evaluate uterine progress. This is important to determine the effectiveness of contractions and the progression of labor. Assessing fetal descent (A) is typically done during the first stage of labor. Assessing cervical dilation (C) is important throughout labor but is not the primary purpose during the second stage. Assessing fetal position (D) can also be important but is not the primary focus during the second stage.

A woman in labor who is receiving oxytocin starts to experience uterine hyperstimulation. What should the nurse do first?

  • A. Stop the oxytocin infusion
  • B. Administer a tocolytic agent
  • C. Increase the oxytocin infusion rate
  • D. Position the patient on her left side
Correct Answer: A

Rationale: The correct answer is A: Stop the oxytocin infusion. Uterine hyperstimulation can lead to fetal distress and compromise maternal and fetal well-being. Stopping the oxytocin infusion is the first step to prevent further complications. Administering a tocolytic agent (B) is not the initial action for uterine hyperstimulation. Increasing the oxytocin infusion rate (C) would exacerbate the hyperstimulation. Positioning the patient on her left side (D) can help improve blood flow but is not the priority in this situation.

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