External Maternal Monitoring

External Maternal Monitoring Related

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A pregnant patient at 28 weeks gestation reports severe heartburn. What is the nurse's most appropriate recommendation?

  • A. Take over-the-counter antacids regularly to alleviate heartburn.
  • B. Eat smaller meals more frequently throughout the day.
  • C. Lie down immediately after eating to help with digestion.
  • D. Drink large amounts of water with meals to dilute stomach acid.
Correct Answer: B

Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This recommendation helps prevent overeating, which can contribute to heartburn. Smaller meals reduce pressure on the stomach, decreasing the likelihood of acid reflux. Eating more frequently also helps maintain stable blood sugar levels, which can further alleviate heartburn symptoms.

Explanation for other choices:
A: Over-the-counter antacids may provide temporary relief, but taking them regularly can lead to potential risks during pregnancy.
C: Lying down immediately after eating can worsen heartburn symptoms as it allows stomach acid to flow back up into the esophagus.
D: Drinking large amounts of water with meals can dilute stomach acid, but it may also distend the stomach and increase pressure, leading to heartburn.

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Where is the usual location for implantation of the zygote?

  • A. Upper section of the posterior uterine wall
  • B. Lower portion of the uterus near the cervical os
  • C. Inner third of the fallopian tube near the uterus
  • D. Lateral aspect of the uterine wall
Correct Answer: A

Rationale: The zygote usually implants in the upper section of the posterior uterine wall.

A pregnant patient at 26 weeks gestation reports frequent headaches and blurred vision. What should the nurse do first?

  • A. Encourage the patient to take over-the-counter pain medication for relief.
  • B. Monitor the patient's blood pressure and check for signs of preeclampsia.
  • C. Advise the patient to rest and stay hydrated to alleviate symptoms.
  • D. Schedule a follow-up appointment for further evaluation in a few days.
Correct Answer: B

Rationale: The correct answer is B: Monitor the patient's blood pressure and check for signs of preeclampsia. At 26 weeks gestation, headaches and blurred vision could be symptoms of preeclampsia, a serious condition in pregnancy. Monitoring blood pressure is crucial as high blood pressure is a key indicator. Preeclampsia can lead to severe complications for both the mother and baby if left untreated. Encouraging over-the-counter pain medication (Choice A) may mask symptoms without addressing the underlying cause. Rest and hydration (Choice C) are important, but immediate evaluation for preeclampsia is necessary. Scheduling a follow-up appointment (Choice D) delays potential diagnosis and treatment.

A nurse is assessing a pregnant patient at 36 weeks gestation who complains of pain in the lower abdomen and back. The nurse finds no signs of labor. Which of the following interventions should the nurse implement?

  • A. Encourage the patient to rest and monitor for any changes in symptoms.
  • B. Administer pain medication and schedule an appointment with the doctor.
  • C. Perform a pelvic exam to determine the cause of the pain.
  • D. Instruct the patient to remain in bed for the rest of the day.
Correct Answer: A

Rationale: The correct answer is A: Encourage the patient to rest and monitor for any changes in symptoms. At 36 weeks gestation, the patient might be experiencing Braxton Hicks contractions or round ligament pain, which are common in late pregnancy. Encouraging rest allows for potential relief of discomfort. Monitoring for any changes in symptoms is essential to rule out preterm labor. Option B is incorrect as administering pain medication without identifying the cause may mask symptoms of preterm labor. Option C is incorrect as performing a pelvic exam could potentially cause harm if the patient is experiencing preterm labor. Option D is incorrect as prolonged bed rest is not recommended in pregnancy and may not alleviate the pain or address the underlying cause.

A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits?

  • A. Leg cramps.
  • B. Varicose veins.
  • C. Hemorrhoids.
  • D. Fainting spells.
Correct Answer: A

Rationale: Leg cramps, varicose veins, and hemorrhoids are common complaints during pregnancy due to increased blood volume and pressure on the lower extremities. Fainting spells are not considered normal and may indicate an underlying issue.

Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.

  • A. Body mass index of 17 kg/m².
  • B. Rubella titer of 1:8.
  • C. Blood pressure of 100/60 mm Hg.
  • D. Hematocrit of 30%.
Correct Answer: A

Rationale: A low BMI, low rubella titer, and low hematocrit are all concerning findings that should be highlighted for further evaluation. A blood pressure of 100/60 mm Hg is within normal limits.

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