Advanced Maternal Age Monitoring

Advanced Maternal Age Monitoring Related

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A patient with a history of hypertension is giving birth. During delivery, the staff was not able to stabilize the patient's blood pressure. As a result, the patient died shortly after delivery. This is an example of what type of death?

  • A. Early maternal death
  • B. Late maternal death
  • C. Direct obstetric death
  • D. Indirect obstetric death
Correct Answer: D

Rationale: The correct answer is D: Indirect obstetric death. In this scenario, the patient's death was not directly caused by the obstetric event of giving birth, but rather by a pre-existing condition (hypertension) that was exacerbated during delivery. Indirect obstetric deaths are those caused by pre-existing conditions or external factors that are aggravated by the physiological effects of pregnancy. In contrast, early maternal death (choice A) occurs within 42 days of termination of pregnancy but is directly related to the pregnancy process. Late maternal death (choice B) occurs between 43 days and 1 year after termination of pregnancy. Direct obstetric deaths (choice C) are deaths resulting from obstetric complications during pregnancy, delivery, or postpartum period.

You may also like to solve these questions

Which foods equal 1 ounce serving size from the grain group? Select all that apply.

  • A. 1 bagel
  • B. 1 slice of bread
  • C. 1 cup cooked pasta
  • D. 1 tortilla
Correct Answer: B

Rationale: 1 slice of bread and 1 tortilla each equal 1 ounce serving size. A bagel and 1 cup cooked pasta exceed this size.

When is the earliest interval that chorionic villus sampling (CVS) can be performed during pregnancy?

  • A. 4 weeks
  • B. 8 weeks
  • C. 10 weeks
  • D. 14 weeks
Correct Answer: C

Rationale: CVS is typically performed between 10 and 13 weeks of gestation to analyze fetal tissue for chromosomal, metabolic, or DNA abnormalities.

A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find?

  • A. Thin cervical muscle.
  • B. An enlarged ovary.
  • C. Thick cervical mucus.
  • D. Pale pink vaginal wall.
Correct Answer: B

Rationale: An enlarged ovary is a common finding in early pregnancy due to the corpus luteum. Thin cervical muscle, thick cervical mucus, and a pale pink vaginal wall are not typical findings at this stage.

A woman in labor begins to experience severe chest pain and difficulty breathing. What should the nurse suspect?

  • A. Pulmonary embolism
  • B. Pre-eclampsia
  • C. Anxiety
  • D. Placental abruption
Correct Answer: A

Rationale: The correct answer is A: Pulmonary embolism. In a woman in labor experiencing severe chest pain and difficulty breathing, a pulmonary embolism should be suspected. This condition occurs when a blood clot travels to the lungs, causing chest pain and respiratory distress. Other choices are incorrect: B) Pre-eclampsia is characterized by high blood pressure and protein in the urine, not chest pain. C) Anxiety does not typically present with severe chest pain and difficulty breathing. D) Placental abruption involves separation of the placenta from the uterus, leading to vaginal bleeding and abdominal pain, not chest pain.

A patient with a history of gestational diabetes is admitted to the labor and delivery unit. What is the most important factor to monitor during labor?

  • A. Maternal blood pressure
  • B. Fetal heart rate
  • C. Blood glucose levels
  • D. Maternal temperature
Correct Answer: C

Rationale: The correct answer is C: Blood glucose levels. During labor, it is crucial to monitor the blood glucose levels of a patient with a history of gestational diabetes to prevent complications such as hyperglycemia or hypoglycemia. Fluctuations in blood glucose levels can impact both the mother and the baby's health. Monitoring maternal blood pressure (A) is important but not the most critical factor in this scenario. Fetal heart rate (B) is essential but does not directly address the specific needs of a patient with a history of gestational diabetes. Maternal temperature (D) is also important but does not take precedence over monitoring blood glucose levels in this case.

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