Maternal Fetal Monitoring

Maternal Fetal Monitoring Related

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A pregnant patient at 28 weeks gestation reports leg cramps and lower back pain. What should the nurse recommend to alleviate these symptoms?

  • A. Take a warm bath and perform leg stretches to relieve muscle tension.
  • B. Apply a heating pad to the affected areas and rest in bed.
  • C. Increase calcium intake and take over-the-counter pain medications.
  • D. Encourage the patient to perform light physical activity and avoid long periods of rest.
Correct Answer: A

Rationale: The correct answer is A. Leg cramps and lower back pain in pregnancy can be relieved by taking a warm bath and performing leg stretches. Warm water helps relax muscles, while stretching can alleviate muscle tension. This is safe and effective for pregnant patients.

Choice B is incorrect because applying a heating pad may not be recommended during pregnancy due to the risk of overheating. Resting in bed may provide temporary relief but does not address the underlying cause.

Choice C is incorrect because increasing calcium intake and taking over-the-counter pain medications may not specifically target muscle cramps and back pain. It is essential to address the symptoms directly.

Choice D is incorrect because encouraging light physical activity may be beneficial, but avoiding long periods of rest may not be necessary. Stretching and warm baths are more specific interventions for muscle cramps and back pain.

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A client, in her third trimester, is concerned that she will not know the difference between labor contractions and normal aches and pains of pregnancy.

  • A. Don't worry. You'll know the difference when the contractions start.
  • B. The contractions may feel just like a backache
  • C. but they will come and go.
  • D. Contractions are a lot worse than your pregnancy aches and pains.
Correct Answer: B

Rationale: Labor contractions typically have a pattern, coming and going at regular intervals, whereas normal aches and pains do not follow such a predictable pattern.

A pregnant woman states, “My husband hopes I will give him a boy because we have three girls.” What will the nurse explain to this woman?

  • A. The sex chromosome of the fertilized ovum determines the gender of the child.
  • B. When the sperm and ovum are united, there is a 75% chance the child will be a girl.
  • C. When the pH of the female reproductive tract is acidic, the child will be a girl.
  • D. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
Correct Answer: D

Rationale: When a Y-bearing sperm fertilizes an ovum, a male child is produced.

A pregnant patient at 28 weeks gestation reports dizziness and faintness when standing. What is the nurse's most appropriate recommendation?

  • A. Rise quickly from a seated position to avoid dizziness.
  • B. Instruct the patient to increase fluid intake and stand slowly.
  • C. Encourage the patient to rest in bed to prevent fainting.
  • D. Advise the patient to avoid standing for long periods.
Correct Answer: B

Rationale: The correct answer is B: Instruct the patient to increase fluid intake and stand slowly. This recommendation is appropriate because the patient is likely experiencing orthostatic hypotension due to the expanding uterus compressing blood vessels, leading to decreased blood flow to the brain when standing. Increasing fluid intake helps maintain blood volume, while standing slowly helps prevent sudden drops in blood pressure.

A: Rising quickly can worsen dizziness by further decreasing blood flow to the brain.
C: Resting in bed may not address the underlying issue of orthostatic hypotension and may lead to deconditioning.
D: Avoiding standing for long periods may be impractical and may not address the need to maintain adequate blood volume and prevent sudden drops in blood pressure.

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.

A client makes the following statement after finding out that her pregnancy test is positive, 'This is not a good time. I am in college and the baby will be due during final exams!' Which of the following responses by the nurse would be most appropriate at this time?

  • A. I’m absolutely positive that everything will turn out all right.
  • B. I suggest that you e-mail your professors to set up an alternate plan.
  • C. It sounds like you’re feeling a little overwhelmed right now.
  • D. You and the baby’s father will find a way to get through the pregnancy.
Correct Answer: C

Rationale: Acknowledging the client's feelings of being overwhelmed is the most supportive response. Offering solutions or reassurance without first addressing the client's emotions may not be as effective.

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