Nokea
A pregnant patient at 12 weeks gestation is asking about safe activities during pregnancy. Which of the following responses is most appropriate?
- A. You should avoid all physical activity to protect your baby.
- B. Moderate exercise, such as walking and swimming, is safe during pregnancy.
- C. You can engage in vigorous exercise, as long as you don't feel any discomfort.
- D. Only yoga and stretching exercises are safe during pregnancy.
Correct Answer: B
Rationale: The correct answer is B because moderate exercise like walking and swimming is generally safe during pregnancy and can provide health benefits for both the mother and the baby. Walking and swimming are low-impact activities that can help improve cardiovascular health, reduce stress, and enhance overall well-being without posing significant risks.
Option A is incorrect as physical activity is important during pregnancy, and avoiding all activity can be detrimental to both the mother and the baby. Option C is incorrect as engaging in vigorous exercise may increase the risk of injury or complications during pregnancy. Option D is incorrect as a variety of moderate exercises beyond just yoga and stretching can be safe and beneficial during pregnancy.
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A nurse is assessing a laboring person and notes the presence of meconium-stained amniotic fluid. What is the priority nursing action?
- A. prepare for an emergency cesarean section
- B. document the amount of meconium
- C. notify the healthcare provider
- D. prepare the person for a blood transfusion
Correct Answer: D
Rationale: The correct answer is D: prepare the person for a blood transfusion. Meconium-stained amniotic fluid indicates fetal distress, which can lead to hypoxia and potential blood loss in the laboring person. The priority action is to prepare for a potential blood transfusion to address any hemorrhage that may occur during delivery. This is crucial for ensuring the safety and well-being of both the laboring person and the baby.
Incorrect options:
A: Prepare for an emergency cesarean section - While meconium-stained amniotic fluid may indicate fetal distress, the priority is addressing potential maternal blood loss.
B: Document the amount of meconium - Documenting is important but not the priority when the person's health is at risk.
C: Notify the healthcare provider - While important, immediate action to address potential blood loss takes precedence over notifying the healthcare provider.
The nurse is monitoring her patient during labor and is aware that the only way to determine the objective measurement of uterine contractions is through the use of which modality?
- A. Tocodynamometer
- B. Fetal spiral electrode
- C. IUPC
- D. Palpation
Correct Answer: C
Rationale: The correct answer is C: IUPC (Intrauterine Pressure Catheter). This modality is the only direct and objective measurement of uterine contractions as it provides continuous and precise readings of intrauterine pressure. A: Tocodynamometer measures frequency and duration, but not intensity. B: Fetal spiral electrode monitors fetal heart rate, not uterine contractions. D: Palpation is subjective and not as accurate as IUPC for measuring uterine contractions.
A nurse is caring for a laboring person who is receiving oxytocin for induction of labor. What is the priority assessment during oxytocin infusion?
- A. monitor fetal heart rate continuously
- B. increase maternal hydration
- C. administer IV fluids
- D. assess uterine tone
Correct Answer: C
Rationale: The correct answer is C because administering IV fluids is crucial during oxytocin infusion to prevent maternal dehydration and maintain fluid balance. This helps prevent complications such as uterine hyperstimulation and fetal distress. Monitoring fetal heart rate continuously (choice A) is important but not the priority. Increasing maternal hydration (choice B) is beneficial but does not address the immediate need for fluid replacement. Assessing uterine tone (choice D) is important but secondary to ensuring adequate hydration.
A nurse is educating a birthing person about the benefits of skin-to-skin contact with their newborn immediately after birth. The nurse explains that this practice has numerous advantages. Which of the following benefits is NOT typically associated with skin-to-skin contact?
- A. improved bonding between parent and baby
- B. enhanced thermoregulation for the newborn
- C. decreased risk of neonatal infections
- D. accelerated uterine involution for the birthing person
Correct Answer: D
Rationale: The correct answer is D: accelerated uterine involution for the birthing person. Skin-to-skin contact does not directly impact the process of uterine involution. The benefits of skin-to-skin contact include improved bonding (A), enhanced thermoregulation (B), and decreased risk of neonatal infections (C). These benefits are well-documented and supported by research. In contrast, uterine involution is a physiological process that occurs naturally postpartum and is not influenced by skin-to-skin contact. Therefore, choice D is the correct answer in this scenario.
A woman in labor requests an epidural. What should the nurse assess before administering the epidural?
- A. Cervical dilation
- B. Maternal blood pressure
- C. Fetal heart rate
- D. Maternal temperature
Correct Answer: B
Rationale: The correct answer is B: Maternal blood pressure. Before administering an epidural, it is crucial to assess the maternal blood pressure to ensure it is within the normal range. Hypotension can occur as a common side effect of epidural anesthesia, which can lead to decreased placental perfusion and compromise fetal oxygenation. Assessing maternal blood pressure helps in preventing potential complications.
Incorrect choices:
A: Cervical dilation - Not directly related to the administration of an epidural.
C: Fetal heart rate - Important but not the immediate assessment needed before administering an epidural.
D: Maternal temperature - While it is important in general assessment, it is not specifically required before giving an epidural.