Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

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A pregnant patient at 32 weeks gestation reports swelling in the feet and hands. What should the nurse do first?

  • A. Monitor the patient's blood pressure and assess for signs of preeclampsia.
  • B. Encourage the patient to elevate her feet and rest for 30 minutes.
  • C. Recommend that the patient drink more water and reduce sodium intake.
  • D. Assess the patient for signs of a blood clot or deep vein thrombosis.
Correct Answer: A

Rationale: The correct answer is A: Monitor the patient's blood pressure and assess for signs of preeclampsia. At 32 weeks gestation, swelling in the feet and hands can be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. Monitoring blood pressure is crucial as elevated blood pressure is a key indicator of preeclampsia. Assessing for other signs of preeclampsia such as headache, visual disturbances, or upper abdominal pain is important for early detection and management. Prompt intervention is necessary to prevent complications for both the mother and the baby.

Choices B, C, and D are incorrect because while elevation of feet, rest, hydration, and reducing sodium intake are important in managing mild swelling during pregnancy, in this case, the priority is to rule out preeclampsia which can lead to severe complications if left untreated. Assessing for blood clots or deep vein thrombosis is also important but

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The nurse is providing anticipatory guidance to a woman in her second trimester regarding signs/symptoms that are within normal limits during the latter half of the pregnancy.

  • A. During the third trimester I may experience frequent urination.
  • B. During the third trimester I may experience heartburn.
  • C. During the third trimester I may experience nagging backaches.
  • D. During the third trimester I may experience persistent headache.
Correct Answer: A

Rationale: Frequent urination, heartburn, and backaches are common during the third trimester due to the growing uterus putting pressure on the bladder and digestive system, as well as changes in posture. Persistent headaches are not normal and should be reported.

A patient in labor is undergoing an epidural block and develops hypotension. What should the nurse do first?

  • A. Increase intravenous fluids
  • B. Place the patient in a Trendelenburg position
  • C. Administer oxygen via face mask
  • D. Notify the physician immediately
Correct Answer: A

Rationale: The correct first action is to increase intravenous fluids (Choice A). This will help improve the patient's blood volume and subsequently increase blood pressure. Trendelenburg position (Choice B) is not recommended due to potential complications. Administering oxygen (Choice C) may be helpful but doesn't directly address the hypotension. Notifying the physician (Choice D) is important but addressing hypotension promptly is the priority. Increasing fluids helps address the underlying cause of hypotension in this scenario.

A nurse is providing discharge instructions to a postpartum person who had a cesarean birth. What is the most important instruction to include?

  • A. avoid heavy lifting
  • B. encourage deep breathing exercises
  • C. encourage early ambulation
  • D. avoid sexual activity
Correct Answer: B

Rationale: The correct answer is B: encourage deep breathing exercises. Deep breathing helps prevent complications like pneumonia after surgery, aids in lung expansion, and promotes overall respiratory health. Choice A is important but not the most crucial post-cesarean. Choice C promotes mobility but doesn't address immediate respiratory needs. Choice D is important but not the most vital in the early postpartum period.

What alternative vitamin C source should the nurse suggest?

  • A. Barley and brown rice
  • B. Strawberries and potatoes
  • C. Buckwheat and lentils
  • D. Wheat flour and figs
Correct Answer: B

Rationale: Strawberries and potatoes are excellent sources of vitamin C, providing alternatives to citrus fruits.

The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?

  • A. Prenatal vitamins will help ensure my baby is getting the nutrients it needs.
  • B. I will take prenatal vitamins every day as prescribed by my doctor.
  • C. I will stop taking prenatal vitamins if I feel nauseous.
  • D. Prenatal vitamins should be taken throughout the entire pregnancy.
Correct Answer: C

Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.

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