Maternal Monitoring

Maternal Monitoring Related

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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.

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The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?

  • A. Fetal heart rate via Doppler.
  • B. Positive pregnancy test.
  • C. Positive Chadwick’s sign.
  • D. Montgomery gland enlargements.
Correct Answer: A

Rationale: A fetal heart rate detected via Doppler is a positive sign of pregnancy. A positive pregnancy test, Chadwick’s sign, and Montgomery gland enlargements are probable signs but not definitive.

The nurse explains that the birth weight of monozygotic twins is frequently below average. What is the most likely cause?

  • A. Inadequate space in the uterus
  • B. Inadequate blood supply
  • C. Inadequate maternal health
  • D. Inadequate placental nutrition
Correct Answer: D

Rationale: The single placenta may not be able to provide adequate nutrition to two fetuses.

During the first stage of labor, what is the primary goal of nursing care in the early phase?

  • A. Administer pain medication.
  • B. Monitor fetal heart rate continuously.
  • C. Promote relaxation and provide comfort measures.
  • D. Prepare for imminent delivery.
Correct Answer: C

Rationale: The correct answer is C because during the early phase of labor, the primary goal of nursing care is to promote relaxation and provide comfort measures to help the mother cope with contractions and manage pain. This helps create a calm and supportive environment, enhancing the progress of labor. Administering pain medication (A) may be necessary later, not necessarily in the early phase. Monitoring fetal heart rate continuously (B) is important but not the primary goal in the early phase. Preparing for imminent delivery (D) is premature in the early phase, as labor can be lengthy.

A woman in her third trimester advises the nurse that she wishes to breastfeed her baby, 'but I don’t think my nipples are right.' Upon examination, the nurse notes that the client has inverted nipples. Which of the following actions should the nurse take at this time?

  • A. Advise the client that it is unlikely that she will be able to breastfeed.
  • B. Refer the client to a lactation consultant for advice.
  • C. Call the labor room and notify them that a client with inverted nipples will be admitted.
  • D. Teach the woman exercises to exert her nipples.
Correct Answer: B

Rationale: Inverted nipples can make breastfeeding challenging, but with proper guidance from a lactation consultant, many women are able to breastfeed successfully. Exercises to exert the nipples may also be helpful, but referral to a specialist is the best initial action.

Which statements about amniotic fluid are correct? Select all that apply.

  • A. Provides fetal nutrition
  • B. Cushions the fetus from injury
  • C. Enables the fetus to grow
  • D. Enables the fetus to practice swallowing
Correct Answer: D

Rationale: Amniotic fluid cushions the fetus, enables growth, maintains a stable thermal environment, and allows the fetus to practice swallowing.

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