Maternal Monitoring

Maternal Monitoring Related

Review Maternal Monitoring related questions and content

A pregnant patient at 30 weeks gestation reports back pain. What should the nurse recommend?

  • A. Perform light stretching exercises and maintain good posture.
  • B. Lie flat on your back to alleviate discomfort.
  • C. Take over-the-counter pain medications as needed.
  • D. Instruct the patient to rest in bed for the remainder of the pregnancy.
Correct Answer: A

Rationale: The correct answer is A because performing light stretching exercises and maintaining good posture can help alleviate back pain in pregnancy. Stretching helps to relieve muscle tension and improve flexibility, while good posture reduces strain on the back.

Choice B is incorrect because lying flat on the back can decrease blood flow to the uterus and may lead to dizziness and decreased oxygen supply to the fetus.

Choice C is incorrect because not all over-the-counter pain medications are safe during pregnancy. It is important for pregnant women to consult their healthcare provider before taking any medication.

Choice D is incorrect because prolonged bed rest can actually worsen back pain and may lead to other complications such as blood clots and muscle weakness. Staying active within limits is recommended during pregnancy.

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A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? Select all that apply.

  • A. Convulsions.
  • B. Double vision.
  • C. Epigastric pain.
  • D. Persistent vomiting.
Correct Answer: D

Rationale: These symptoms may indicate severe complications such as preeclampsia, eclampsia, or hyperemesis gravidarum, requiring immediate medical attention. Polyuria is generally not a danger sign.

What is the most common site for fertilization?

  • A. Lower segment of the uterus
  • B. Outer third of the fallopian tube near the ovary
  • C. Upper portion of the uterus
  • D. Area of the fallopian tube farthest from the ovary
Correct Answer: B

Rationale: Fertilization takes place in the outer third of the fallopian tube, which is closest to the ovary.

A 38-week pregnant woman presents to the labor and delivery unit with regular contractions. The cervix is 3 cm dilated and 80% effaced. What is the next appropriate nursing action?

  • A. Perform a vaginal exam to assess for fetal position
  • B. Prepare the patient for delivery
  • C. Administer an epidural block
  • D. Continue to monitor contractions and fetal heart rate
Correct Answer: D

Rationale: The correct answer is D: Continue to monitor contractions and fetal heart rate. At 3 cm dilated and 80% effaced, the woman is likely in early labor. Continuous monitoring is crucial to assess labor progression and fetal well-being. Vaginal exam (A) can increase infection risk. Preparing for delivery (B) is premature. Administering epidural (C) is based on pain management, not current labor stage. Monitoring contractions and fetal heart rate ensures timely intervention if needed.

The nurse asks a woman about how the woman’s husband is dealing with the pregnancy.

  • A. My husband is ready for the pregnancy to end so that we can have sex again.
  • B. My husband has gained quite a bit of weight during this pregnancy.
  • C. My husband seems more worried about our finances now than before the pregnancy.
  • D. My husband plays his favorite music for my belly so the baby will learn to like it.
Correct Answer: A

Rationale: If the husband is overly focused on resuming sexual activity postpartum, it might indicate a lack of emotional support for the pregnant partner, warranting counseling.

Which of the following is the most accurate description of fetal station during labor?

  • A. The distance from the cervix to the fetal head
  • B. The level of the presenting part in relation to the ischial spines
  • C. The degree of fetal flexion during contractions
  • D. The amount of cervical dilation during labor
Correct Answer: B

Rationale: The correct answer is B: The level of the presenting part in relation to the ischial spines. Fetal station refers to the position of the baby's head in the mother's pelvis during labor. It is measured in centimeters above or below the ischial spines. This measurement helps determine the progress of labor and the descent of the baby through the birth canal. Choices A, C, and D do not accurately describe fetal station and are therefore incorrect. Choice A refers to the cervical length, choice C refers to fetal position, and choice D refers to cervical dilation, which are not related to fetal station.

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