Maternal Monitoring During Labor ppt

Maternal Monitoring During Labor ppt Related

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A nurse is caring for a pregnant patient who is experiencing nausea and vomiting. Which of the following should be included in the teaching plan?

  • A. Eat small, frequent meals and avoid spicy or fatty foods.
  • B. Drink large amounts of water to flush out toxins.
  • C. Lie flat on your back to help settle your stomach.
  • D. Avoid eating any food until the nausea resolves completely.
Correct Answer: A

Rationale: The correct answer is A: Eat small, frequent meals and avoid spicy or fatty foods. This is because small, frequent meals can help manage nausea by preventing the stomach from becoming too full, while avoiding spicy or fatty foods can reduce irritation and ease digestion. Option B is incorrect as excessive water intake can worsen nausea. Option C is wrong as lying flat on the back can exacerbate nausea and is not recommended during pregnancy. Option D is incorrect because skipping meals can lead to low blood sugar levels, worsening nausea. Overall, choice A aligns with evidence-based strategies for managing nausea and vomiting in pregnancy.

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A client is 35 weeks’ gestation.

  • A. Nausea and vomiting.
  • B. Maternal ambivalence.
  • C. Fundal height 10 cm above the umbilicus.
  • D. Use of three pillows for sleep comfort.
Correct Answer: D

Rationale: Using multiple pillows for sleep comfort is common in late pregnancy due to discomfort from the growing uterus. Nausea and vomiting are more common in early pregnancy, and maternal ambivalence is not specific to this stage.

A pregnant patient at 24 weeks gestation is diagnosed with gestational diabetes. What should the nurse emphasize in the patient's care plan?

  • A. Maintaining a balanced diet and monitoring blood glucose levels regularly.
  • B. Limiting physical activity to prevent glucose spikes.
  • C. Taking insulin injections throughout the day to manage blood sugar.
  • D. Avoiding all carbohydrates to control blood sugar levels.
Correct Answer: A

Rationale: The correct answer is A because maintaining a balanced diet and monitoring blood glucose levels regularly are essential in managing gestational diabetes. A balanced diet helps regulate blood sugar levels, and monitoring glucose levels helps track responses to dietary choices. Choice B is incorrect as physical activity is beneficial for managing blood sugar. Choice C is unnecessary for gestational diabetes unless dietary and lifestyle modifications are insufficient. Choice D is incorrect as carbohydrates are still needed for energy but should be consumed in moderation with monitoring.

The glucose challenge screening test is performed at or after 24 weeks’ gestation to assess for the maternal physiological response to which of the following pregnancy hormones?

  • A. Estrogen.
  • B. Progesterone.
  • C. Human placental lactogen.
  • D. Human chorionic gonadotropin.
Correct Answer: C

Rationale: Human placental lactogen (hPL) is the hormone that affects glucose metabolism during pregnancy, making it the focus of the glucose challenge test.

A 36-week pregnant woman presents to the labor and delivery unit in preterm labor. What is the priority intervention?

  • A. Administer corticosteroids to promote fetal lung maturity
  • B. Administer magnesium sulfate to stop labor
  • C. Perform an emergency cesarean section
  • D. Perform a nonstress test (NST)
Correct Answer: A

Rationale: The correct answer is A: Administer corticosteroids to promote fetal lung maturity. This is the priority intervention in preterm labor as it helps accelerate fetal lung development, reducing the risk of respiratory distress syndrome. Administering magnesium sulfate (B) is used for neuroprotection in preterm labor but is not the priority in this case. Emergency cesarean section (C) is not indicated unless there is a life-threatening situation. Performing a nonstress test (D) is important for fetal monitoring but is not the priority intervention in this scenario.

What point in the pregnancy is the most accurate time to determine gestational age through ultrasound?

  • A. First trimester
  • B. Second trimester
  • C. Third trimester
  • D. No difference in accuracy among the trimesters
Correct Answer: A

Rationale: Gestational age determination is most accurate in the first trimester, as accuracy decreases in later stages.

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