Monitoring Baby During Labour

Monitoring Baby During Labour Related

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A nurse is providing prenatal care to a 24-week pregnant patient. Which of the following findings should be reported immediately?

  • A. Mild leg swelling and varicosities
  • B. Slight back pain and cramping
  • C. Severe headaches and visual disturbances
  • D. Increased appetite and weight gain
Correct Answer: C

Rationale: The correct answer is C: Severe headaches and visual disturbances. These symptoms can indicate a serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for both the mother and the baby. Severe headaches and visual disturbances are signs of increased blood pressure, protein in the urine, and potential organ damage. Reporting these findings promptly allows for timely intervention.

Incorrect choices:
A: Mild leg swelling and varicosities are common in pregnancy and typically not urgent unless accompanied by other concerning symptoms.
B: Slight back pain and cramping are common discomforts in pregnancy and may not indicate a serious issue unless they are severe or persistent.
D: Increased appetite and weight gain are expected during pregnancy and may not require immediate reporting unless there are other concerning symptoms present.

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A nurse is providing prenatal education to a pregnant patient who is at 30 weeks gestation. Which of the following symptoms should the nurse instruct the patient to report immediately?

  • A. Mild back pain and cramping.
  • B. Feeling of pelvic pressure after physical activity.
  • C. Regular contractions every 10 minutes or less.
  • D. Occasional headaches and fatigue.
Correct Answer: C

Rationale: The correct answer is C. Regular contractions every 10 minutes or less can indicate preterm labor, which is a serious concern at 30 weeks gestation. The nurse should instruct the patient to report this immediately for further evaluation to prevent premature delivery.

A: Mild back pain and cramping are common discomforts during pregnancy and may not be alarming at this stage.
B: Feeling of pelvic pressure after physical activity is also common during pregnancy and does not necessarily indicate an urgent issue.
D: Occasional headaches and fatigue are common symptoms in pregnancy and do not typically require immediate attention unless they are severe or persistent.

A pregnant woman must have a glucose challenge test (GCT). Which of the following should be included in the preprocedure teaching?

  • A. Fast for 12 hours before the test.
  • B. Bring a urine specimen to the laboratory on the day of the test.
  • C. Be prepared to have 4 blood specimens taken on the day of the test.
  • D. The test should take one hour to complete.
Correct Answer: D

Rationale: The glucose challenge test typically takes one hour to complete and does not require fasting or multiple blood specimens. A urine specimen is not required for this test.

A nurse is educating a postpartum person about newborn care. Which of the following should be included in the teaching about umbilical cord care?

  • A. keep the cord dry and clean
  • B. apply a sterile dressing to the cord
  • C. use alcohol or iodine to clean the cord
  • D. apply a sterile dressing to the umbilicus
Correct Answer: A

Rationale: The correct answer is A: keep the cord dry and clean. This is because keeping the umbilical cord dry and clean helps prevent infection and promotes healing. Applying a sterile dressing (B) is unnecessary and may trap moisture, leading to infection. Using alcohol or iodine (C) is outdated and can delay cord separation. Applying a sterile dressing to the umbilicus (D) is not recommended as it can interfere with air circulation and healing. In summary, choice A is correct as it aligns with current best practices for umbilical cord care.

When preparing to teach a class about prenatal development, the nurse would include information about folic acid supplementation. What is folic acid known to prevent?

  • A. Congenital heart defects
  • B. Neural tube defects
  • C. Mental retardation
  • D. Premature birth
Correct Answer: B

Rationale: It is now known that folic acid supplements can prevent neural tube defects such as spina bifida.

The nurse is caring for a pregnant patient who is 38 weeks gestation and reports feeling pelvic pressure and mild cramping. What should the nurse do first?

  • A. Monitor the fetal heart rate and check for signs of labor.
  • B. Instruct the patient to rest and monitor the symptoms.
  • C. Assess the patient's blood pressure and urine for protein.
  • D. Perform a pelvic exam to assess for cervical dilation.
Correct Answer: A

Rationale: The correct answer is A because monitoring the fetal heart rate and checking for signs of labor are essential in assessing the well-being of the fetus and determining if the patient is in active labor. This step helps the nurse identify any potential complications and take appropriate actions promptly.

Choice B is incorrect because simply instructing the patient to rest may not address the underlying cause of pelvic pressure and cramping.

Choice C is incorrect as assessing blood pressure and urine for protein is not the priority in this situation.

Choice D is incorrect because performing a pelvic exam should be done after monitoring fetal well-being and ruling out active labor.

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