Monitoring Baby During Labour

Monitoring Baby During Labour Related

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A patient with a history of hypertension is admitted to the labor and delivery unit. Which of the following is most important to monitor for during labor?

  • A. Hypotension
  • B. Precipitous delivery
  • C. Preeclampsia
  • D. Increased bleeding risk
Correct Answer: C

Rationale: The correct answer is C: Preeclampsia. Preeclampsia is a serious condition characterized by high blood pressure and protein in the urine, which can lead to complications for both the mother and baby during labor. Monitoring for signs of preeclampsia is crucial to ensure timely intervention and prevent adverse outcomes.

A: Hypotension is not typically a major concern in a patient with a history of hypertension during labor.
B: Precipitous delivery refers to an unusually fast labor, which can be managed but is not the most important issue to monitor for in this case.
D: Increased bleeding risk may be a concern, but preeclampsia poses a more immediate threat to the patient's health and requires closer monitoring.

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A 36-week gestation gravid client is complaining of dyspnea when lying flat.

  • A. Maternal hypertension.
  • B. Fundal height.
  • C. Hydramnios.
  • D. Congestive heart failure.
Correct Answer: B

Rationale: As the uterus grows, the fundal height increases, which can press on the diaphragm and lead to shortness of breath when lying flat.

The nurse is educating a pregnant patient on the importance of maintaining a balanced diet during pregnancy. Which of the following statements by the patient indicates effective teaching?

  • A. I should avoid all carbohydrates to prevent gestational diabetes.
  • B. I need to eat extra food for my baby to ensure proper growth.
  • C. I will eat a variety of nutrient-dense foods and avoid processed foods.
  • D. I can focus on eating as much protein as possible to support my baby's development.
Correct Answer: C

Rationale: Rationale: Choice C is correct because it emphasizes the importance of eating a variety of nutrient-dense foods and avoiding processed foods. This approach ensures the pregnant patient receives essential nutrients for her health and the baby's development. Variety helps cover all necessary nutrients, while avoiding processed foods reduces the intake of unhealthy additives. This balanced diet promotes optimal health outcomes for both the mother and the baby.

Summary of Incorrect Choices:
A: Avoiding all carbohydrates is not recommended as they are a vital energy source and cutting them out completely can lead to nutritional deficiencies.
B: Eating extra food indiscriminately can result in excessive weight gain and complications. The focus should be on nutrient-dense foods, not just quantity.
D: Focusing solely on protein neglects other important nutrients needed during pregnancy. A well-rounded diet is essential for overall health.

Organize the developmental stages in the correct order. Put a comma and space between each answer choice (a, b, c, d, etc.)

  • A. Zygote
  • B. Morula
  • C. Blastocyst
  • D. Embryo
Correct Answer: B

Rationale: Fetal development progresses through several stages: zygote, morula, blastocyst, embryo, and fetus. Each stage represents a critical phase in the formation and growth of the embryo.

How often should the nurse assess the blood pressure, pulse, and respirations of the birthing person during the first hour of the fourth stage of labor?

  • A. every 15 minutes
  • B. every 30 minutes
  • C. not until after the first hour
  • D. once, then hourly
Correct Answer: A

Rationale: The correct answer is A: every 15 minutes. During the first hour of the fourth stage of labor, immediate postpartum assessment is crucial to monitor for any signs of complications such as hemorrhage or shock. Assessing vital signs every 15 minutes allows for early detection of any abnormalities and prompt intervention. This frequency ensures close monitoring of the birthing person's condition and helps in early identification of any potential issues. Choices B, C, and D are incorrect because less frequent assessments may delay the identification of complications, potentially leading to serious consequences. Option C, in particular, is dangerous as it suggests delaying assessments when immediate postpartum monitoring is essential.

Organize the developmental stages in the correct order. Put a comma and space between each answer choice (a, b, c, d, etc.)

  • A. Zygote
  • B. Morula
  • C. Blastocyst
  • D. Embryo
Correct Answer: B

Rationale: Fetal development progresses through several stages: zygote, morula, blastocyst, embryo, and fetus. Each stage represents a critical phase in the formation and growth of the embryo.

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