Maternal Monitoring

Maternal Monitoring Related

Review Maternal Monitoring related questions and content

A postpartum person is breastfeeding her newborn. What is the most appropriate action if the person is experiencing nipple pain?

  • A. apply lanolin cream
  • B. administer pain relief
  • C. monitor the baby's latch
  • D. provide distraction techniques
Correct Answer: B

Rationale: The correct answer is B: administer pain relief. Nipple pain during breastfeeding can be caused by various factors such as improper latch, engorgement, or infection. Administering pain relief can help alleviate the discomfort temporarily while addressing the root cause. Applying lanolin cream (choice A) may help with moisturizing the nipples but won't address the underlying issue causing the pain. Monitoring the baby's latch (choice C) is important for long-term prevention but may not provide immediate relief. Providing distraction techniques (choice D) is not addressing the physical pain and may not be effective in resolving the issue. Administering pain relief is the most appropriate immediate action to help the postpartum person manage the discomfort while addressing the cause of the pain.

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A postpartum person who delivered vaginally is being assessed for postpartum depression. What is the most concerning sign of this condition?

  • A. feeling overwhelmed
  • B. feeling hopeless
  • C. low energy and fatigue
  • D. feeling elated
Correct Answer: B

Rationale: The correct answer is B: feeling hopeless. Postpartum depression is a serious condition that can lead to feelings of hopelessness, helplessness, and worthlessness. This is concerning as it may indicate a deeper level of despair and potential suicidal ideation. Feeling overwhelmed (choice A) is common in new parents but not necessarily indicative of postpartum depression. Low energy and fatigue (choice C) can be symptoms of depression but are not the most concerning sign. Feeling elated (choice D) is not characteristic of postpartum depression but may indicate other mood disorders.

A nurse is caring for a postpartum person who is breastfeeding. What is the most important action to promote effective breastfeeding?

  • A. assist with positioning
  • B. administer analgesics
  • C. administer IV fluids
  • D. assist with breastfeeding positioning
Correct Answer: B

Rationale: The correct answer is B: administer analgesics. Pain management is crucial to promote effective breastfeeding as it can help the postpartum person be more comfortable and relaxed during breastfeeding sessions. This can lead to better latch and milk transfer, ultimately enhancing the breastfeeding experience.

A: assist with positioning - While positioning is important for successful breastfeeding, it is not the most crucial action compared to pain management.

C: administer IV fluids - IV fluids are not directly related to promoting effective breastfeeding. Hydration is important but not the most critical factor in this scenario.

D: assist with breastfeeding positioning - This choice is similar to option A and while important, it is not as critical as ensuring proper pain management for effective breastfeeding.

An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.

  • A. Amenorrhea.
  • B. Breast tenderness.
  • C. Quickening.
  • D. Frequent urination.
Correct Answer: A

Rationale: Presumptive signs of pregnancy are subjective and include amenorrhea, breast tenderness, quickening, and frequent urination. Uterine growth is a probable sign of pregnancy.

What fetal change occurs when the fundal height reaches the xiphoid process?

  • A. Surfactant forms in lungs
  • B. Eyes begin to open and close
  • C. Respiratory movements begin
  • D. Spinal column is complete
Correct Answer: A

Rationale: Surfactant production begins in the lungs around this stage of pregnancy, preparing them for postnatal breathing.

A nurse is assisting with a vaginal birth and notices a prolapsed umbilical cord. What is the immediate nursing action?

  • A. administer oxygen via mask
  • B. place the person in the knee-chest position
  • C. reposition the laboring person
  • D. prepare for an emergency delivery
Correct Answer: A

Rationale: The correct immediate nursing action for a prolapsed umbilical cord is to administer oxygen via mask (Choice A). This is crucial to ensure adequate oxygenation to the fetus as the prolapsed cord can compress and compromise blood flow. Administering oxygen helps maintain fetal oxygenation until emergency measures can be taken. Placing the person in the knee-chest position (Choice B) is contraindicated as it can further compress the cord. Repositioning the laboring person (Choice C) may not effectively relieve pressure on the cord. While preparing for an emergency delivery (Choice D) is important, administering oxygen is the priority to ensure fetal well-being.

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