External Maternal Monitoring

External Maternal Monitoring Related

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A pregnant patient is at 34 weeks gestation and reports persistent lower back pain and difficulty sleeping. What is the nurse's best recommendation for this patient?

  • A. Rest in bed and avoid any physical activity.
  • B. Use a firm mattress and avoid sleeping on the back.
  • C. Take over-the-counter pain medications to alleviate symptoms.
  • D. Apply heat to the back and practice good posture while sitting.
Correct Answer: B

Rationale: The correct answer is B: Use a firm mattress and avoid sleeping on the back. This recommendation is appropriate because during pregnancy, the weight of the uterus can compress blood vessels when lying on the back, causing back pain and affecting circulation. Using a firm mattress can provide better support for the back, relieving discomfort. Avoiding sleeping on the back reduces the risk of decreased blood flow to the fetus.

A: Rest in bed and avoid any physical activity is incorrect because it can lead to muscle stiffness and worsen back pain.
C: Taking over-the-counter pain medications may provide temporary relief but does not address the root cause of the discomfort.
D: Applying heat to the back and practicing good posture are helpful strategies, but avoiding sleeping on the back is more crucial to alleviate the symptoms in this case.

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At what point in prenatal development do the lungs begin to produce surfactant?

  • A. 17 weeks
  • B. 20 weeks
  • C. 25 weeks
  • D. 30 weeks
Correct Answer: C

Rationale: During week 25, the alveoli begin to produce surfactant, which enables the alveoli to stay open for adequate lung oxygenation to occur.

A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurse’s best response?

  • A. Because the organ systems in the baby are developing right now, it is risky to take medicine.
  • B. You can take any of the over-the-counter medications because they are all safe in pregnancy.
  • C. The physician will prescribe a category 'X' medication for you.
  • D. You can take acetaminophen because it is a category 'B' medicine.
Correct Answer: D

Rationale: Acetaminophen is a category 'B' medication, which is considered safe during pregnancy. Other over-the-counter medications may not be safe, and category 'X' medications are contraindicated.

A woman, 26-weeks’ gestation, calls the triage nurse stating, 'I’m really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now.'

  • A. Lie down and drink a quart of water. If you feel any back pressure at all call me back right away.
  • B. Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor.
  • C. I will inform the doctor for you. What I want you to do is to come to the hospital right now to be checked.
  • D. The best thing for you to do right now is to take a warm shower and then do a fetal kick count assessment.
Correct Answer: B

Rationale: Oxytocin released during orgasm does not typically trigger preterm labor. Reassurance is appropriate unless there are other risk factors present.

A nurse is preparing a laboring person for a cesarean birth. What is the priority action before the procedure?

  • A. ensure informed consent is signed
  • B. administer preoperative medication
  • C. administer IV fluids
  • D. administer a sedative
Correct Answer: C

Rationale: The correct answer is C: administer IV fluids. Before a cesarean birth, IV fluids are crucial to maintain hydration and prevent hypotension due to anesthesia. Administering IV fluids helps stabilize the person's blood pressure during the procedure, reducing the risk of complications. A is incorrect because informed consent should be obtained earlier in the process. B is incorrect as preoperative medication is typically given closer to the procedure start time. D is incorrect as administering a sedative may affect the person's ability to participate in decision-making and care during the procedure. Administering IV fluids is the priority to ensure the person's safety and well-being during the cesarean birth.

A nurse is caring for a laboring person and is monitoring for signs of fetal distress. Which finding is the most concerning in this situation?

  • A. Late decelerations
  • B. Bradycardia
  • C. Tachycardia
  • D. Variable decelerations
Correct Answer: A

Rationale: The correct answer is A: Late decelerations. Late decelerations indicate uteroplacental insufficiency, which can lead to fetal hypoxia and distress. This is the most concerning finding as it indicates a problem with oxygen delivery to the fetus. Bradycardia (B) and Tachycardia (C) can also be concerning, but late decelerations are more specific to fetal distress. Variable decelerations (D) are caused by cord compression and are concerning but not as indicative of fetal distress as late decelerations.

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