External Maternal Monitoring

External Maternal Monitoring Related

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A pregnant patient is concerned about the use of caffeine during pregnancy. Which of the following statements by the nurse would be most appropriate?

  • A. Caffeine is completely safe during pregnancy and has no impact on the baby.
  • B. Moderate caffeine consumption is safe, but it is recommended to limit it to 200 mg per day.
  • C. You should avoid caffeine completely to prevent any complications.
  • D. Caffeine can cause premature labor, so it should be avoided entirely.
Correct Answer: B

Rationale: The correct answer is B. Moderate caffeine consumption is safe, but it is recommended to limit it to 200 mg per day during pregnancy. This answer is appropriate because it balances the potential risks of caffeine with the benefits of moderate consumption. Excessive caffeine intake has been associated with adverse pregnancy outcomes, so setting a limit is a prudent approach.

Explanation for Incorrect Choices:
A: This statement is incorrect as excessive caffeine intake during pregnancy can have negative effects on the baby.
C: Complete avoidance of caffeine is not necessary unless the individual has specific health concerns that warrant it.
D: While high levels of caffeine can be linked to complications, the statement that caffeine always causes premature labor is an oversimplification.

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A pregnant patient is at 28 weeks gestation and reports occasional headaches and blurred vision. What is the nurse's priority action?

  • A. Monitor the patient's blood pressure and check for signs of preeclampsia.
  • B. Administer pain relief and encourage the patient to rest.
  • C. Assess the patient's vision and schedule an appointment with an eye specialist.
  • D. Encourage the patient to drink fluids and avoid strenuous activity.
Correct Answer: A

Rationale: The correct answer is A: Monitor the patient's blood pressure and check for signs of preeclampsia.

1. Headaches and blurred vision are common symptoms of preeclampsia.
2. Preeclampsia is a serious condition that can lead to complications for both the mother and baby.
3. Monitoring blood pressure is crucial in diagnosing preeclampsia and determining the appropriate course of action.
4. Prompt assessment and management of preeclampsia are essential to prevent further complications.

Incorrect choices:
B: Administering pain relief and encouraging rest does not address the underlying cause of the symptoms, which could be preeclampsia.
C: Assessing vision and scheduling an appointment with an eye specialist does not address the urgent need to assess for preeclampsia.
D: Encouraging fluid intake and avoiding strenuous activity may be helpful in general, but they do not address the potential seriousness of preeclampsia in this

The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?

  • A. Hemophilia
  • B. Sickle cell anemia
  • C. A neural tube defect
  • D. Abnormal lecithin-to-sphingomyelin ratio
Correct Answer: C

Rationale: An open neural tube allows a high level of AFP to seep into the amniotic fluid and enter maternal serum, indicating a neural tube defect.

A 40-week pregnant woman is admitted to the labor and delivery unit and is in active labor. Her cervix is 8 cm dilated, and she is experiencing strong contractions. What is the next priority action?

  • A. Administer an epidural block
  • B. Perform a vaginal examination to assess fetal descent
  • C. Assess the fetal heart rate
  • D. Prepare for delivery
Correct Answer: C

Rationale: The correct answer is C: Assess the fetal heart rate. This is the next priority action because monitoring the fetal heart rate is crucial to ensure the well-being of the baby during labor. It helps in identifying any signs of fetal distress and guides the healthcare provider in making timely interventions to prevent complications. Administering an epidural block (choice A) can be considered later once the fetal well-being is ensured. Performing a vaginal examination (choice B) may not be necessary at this moment as the woman is already in active labor and has progressed to 8 cm dilation. Preparing for delivery (choice D) should only be done after assessing the fetal well-being to ensure a safe delivery.

A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. When is the best time for the nurse to schedule the patient’s ultrasound?

  • A. Immediately
  • B. In 2 weeks
  • C. In 4 weeks
  • D. In 6 weeks
Correct Answer: A

Rationale: An ultrasound at around 5-6 weeks after the last menstrual period is the most accurate time to determine gestational age.

A woman is planning to become pregnant. Which of the following actions should she be counseled to take before stopping birth control? Select all that apply.

  • A. Take a daily multivitamin.
  • B. See a medical doctor.
  • C. Drink beer instead of vodka.
  • D. Stop all over-the-counter medications.
Correct Answer: B

Rationale: Taking a multivitamin, consulting a doctor, and stopping potentially harmful medications are important preconception steps. Alcohol consumption should generally be minimized, but switching from vodka to beer is not a significant improvement.

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