Maternal Fetal Monitoring

Maternal Fetal Monitoring Related

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A pregnant patient at 28 weeks gestation expresses concern about her baby's movements. Which of the following should the nurse recommend?

  • A. Count fetal movements and report a decrease of more than 10 movements per day.
  • B. Wait until after 32 weeks to worry about fetal movement.
  • C. Do not count fetal movements and only report if you notice pain.
  • D. Always lie down and count fetal movements after meals.
Correct Answer: A

Rationale: The correct answer is A: Count fetal movements and report a decrease of more than 10 movements per day. This recommendation is evidence-based and aligns with guidelines for monitoring fetal well-being. Counting fetal movements helps assess fetal health, and a decrease in movements could indicate potential issues like fetal distress. Reporting a decrease of more than 10 movements per day ensures timely intervention if needed.

Choice B is incorrect because waiting until after 32 weeks could delay necessary intervention if there are concerns about fetal movements. Choice C is incorrect as it dismisses the importance of monitoring fetal movements altogether. Choice D is incorrect as there is no requirement to always lie down or restrict monitoring to only after meals, which could lead to missed opportunities for detecting potential problems.

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A nurse is assisting with a vaginal delivery. What is the most important action when the fetal head begins to crown?

  • A. apply gentle downward pressure
  • B. perform perineal massage
  • C. perform a vaginal exam
  • D. assist with breathing exercises
Correct Answer: A

Rationale: The correct answer is A: apply gentle downward pressure. This action helps prevent rapid delivery, reducing the risk of tearing and allowing the perineum to stretch gradually. It also helps control the delivery, ensuring a safe and controlled birth process. Performing perineal massage (B) is beneficial during the pushing stage but is not the most important action when the head crowns. Performing a vaginal exam (C) is unnecessary and may increase the risk of infection. Assisting with breathing exercises (D) is important during labor but not specifically when the head crowns.

A nurse is caring for a postpartum person who is experiencing a headache. What is the most likely cause of a postpartum headache?

  • A. Eclampsia
  • B. Spinal headache
  • C. Tension headache
  • D. Cluster headache
Correct Answer: B

Rationale: The correct answer is B: Spinal headache. Postpartum spinal headaches are commonly caused by leakage of cerebrospinal fluid due to accidental dural puncture during epidural anesthesia. This can lead to severe headaches that worsen when sitting or standing. Eclampsia (A) presents with hypertension and seizures, not just headaches. Tension headaches (C) are typically stress-related and not specific to the postpartum period. Cluster headaches (D) are characterized by severe pain around the eye and are not commonly associated with childbirth.

The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide?

  • A. Pain management during labor.
  • B. Methods to relieve backaches.
  • C. Breastfeeding positions.
  • D. Characteristics of the newborn.
Correct Answer: B

Rationale: Backaches are a common complaint during pregnancy, and providing guidance on how to relieve them is a priority at this stage. Pain management during labor, breastfeeding positions, and newborn characteristics are typically addressed later in pregnancy.

A nursing student is asked to set goals that will decrease the fetal death outcomes during delivery. What guidelines will the nursing student use to assist in setting her goals?

  • A. WHO Maternal care guidelines
  • B. Healthy People 2020
  • C. AWHONN white papers
  • D. State Practice Act
Correct Answer: B

Rationale: The correct answer is B: Healthy People 2020. This is because Healthy People 2020 provides specific objectives related to maternal and child health, including reducing fetal death outcomes during delivery. The goals and targets outlined in Healthy People 2020 are evidence-based and nationally recognized, making it a reliable guide for setting healthcare goals.

A: WHO Maternal care guidelines focus more broadly on global maternal health issues and may not provide specific goals related to reducing fetal death outcomes during delivery.

C: AWHONN white papers may offer valuable insights and recommendations, but they are not as comprehensive or widely recognized as the goals outlined in Healthy People 2020.

D: State Practice Acts govern the scope of practice for healthcare providers in a specific state, but they do not typically include specific goals related to reducing fetal death outcomes during delivery.

A father experiencing couvade syndrome is likely to exhibit which of the following symptoms/behaviors? Select all that apply.

  • A. Heartburn.
  • B. Promiscuity.
  • C. Hypertension.
  • D. Bloating.
Correct Answer: C

Rationale: Couvade syndrome involves sympathetic pregnancy symptoms in fathers, such as heartburn, bloating, and abdominal discomfort. Promiscuity is not typically associated with this condition.

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