Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

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A nurse is preparing a laboring person for a cesarean birth. What is the most important action the nurse should take prior to the procedure?

  • A. administer a preoperative medication
  • B. assist with positioning the person
  • C. perform a cesarean section
  • D. monitor fetal heart tones
Correct Answer: A

Rationale: The correct answer is A: administer a preoperative medication. This is the most important action because it helps prepare the laboring person for the cesarean birth by ensuring they are adequately medicated for the procedure. Administering preoperative medication can help reduce anxiety, manage pain, and ensure the person is in a suitable condition for surgery.

Summary of other choices:
B: Assisting with positioning the person is important but not the most critical action before a cesarean birth.
C: Performing a cesarean section is not a nursing responsibility and is done by the healthcare provider.
D: Monitoring fetal heart tones is important but not the most crucial action for preparing the laboring person for a cesarean birth.

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The nurse’s role in diagnostic testing is to provide which of the following?

  • A. Advice to the couple
  • B. Information about the tests
  • C. Reassurance about fetal safety
  • D. Assistance with decision making
Correct Answer: B

Rationale: The nurse's role is to provide all necessary information regarding a procedure to enable the couple to make an informed decision.

What change occurs at the same time as quickening?

  • A. Fetal heart begins to beat
  • B. Lanugo covers the body
  • C. Kidneys secrete urine
  • D. Fingernails begin to form
Correct Answer: C

Rationale: Quickening typically coincides with the onset of fetal kidney function and urine secretion.

The nurse is caring for a pregnant patient who is 32 weeks gestation and reports a sudden increase in vaginal discharge. What is the nurse's priority action?

  • A. Assess the color, consistency, and odor of the discharge.
  • B. Instruct the patient to rest and monitor the discharge.
  • C. Encourage the patient to increase fluid intake to reduce discharge.
  • D. Perform a pelvic exam to check for signs of preterm labor.
Correct Answer: A

Rationale: The correct answer is A: Assess the color, consistency, and odor of the discharge. This is the priority action because sudden increase in vaginal discharge could indicate potential issues such as infection or preterm labor. By assessing the characteristics of the discharge, the nurse can gather important information to determine the underlying cause and provide appropriate interventions.

Choice B is incorrect as simply instructing the patient to rest and monitor the discharge does not address the potential seriousness of the situation. Choice C is incorrect as increasing fluid intake may not necessarily reduce the discharge and could potentially worsen the situation if there is an underlying issue. Choice D is incorrect as performing a pelvic exam should not be the initial priority without first assessing the characteristics of the discharge.

A woman states that she frequently awakens with 'painful leg cramps' during the night. Which of the following assessments should the nurse make?

  • A. Dietary evaluation.
  • B. Goodell’s sign.
  • C. Hegar’s sign.
  • D. Posture evaluation.
Correct Answer: A

Rationale: Leg cramps during pregnancy are often related to dietary deficiencies, particularly calcium and magnesium. A dietary evaluation is the most appropriate assessment.

A pregnant patient at 26 weeks gestation reports pain in the lower abdomen and back. What should the nurse do first?

  • A. Encourage the patient to rest and monitor for changes in symptoms.
  • B. Perform a pelvic exam to assess for possible cervical dilation.
  • C. Administer pain medication to relieve the discomfort.
  • D. Assess the patient's blood pressure and check for signs of preeclampsia.
Correct Answer: A

Rationale: The correct answer is A: Encourage the patient to rest and monitor for changes in symptoms. At 26 weeks gestation, lower abdominal and back pain could indicate preterm labor. The first step is to have the patient rest to reduce uterine activity. Monitoring for changes in symptoms is crucial to assess if the pain is worsening and if there are any signs of preterm labor. Performing a pelvic exam (B) could potentially stimulate contractions and should be avoided unless absolutely necessary. Administering pain medication (C) does not address the underlying cause and could mask symptoms. Assessing blood pressure for signs of preeclampsia (D) is important but not the first priority in this scenario.

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