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A pregnant patient’s biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse’s most appropriate response?
- A. The test results are within normal limits.
- B. Immediate birth by cesarean birth is being considered.
- C. Further testing will be performed to determine the meaning of this score.
- D. An obstetric specialist will evaluate the results of this profile and, within the next week, will inform you of your options regarding birth.
Correct Answer: A
Rationale: A score of 8-10 is within the normal range for a biophysical profile, indicating no immediate concerns for the fetus.
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A pregnant patient has received the results of her triple-screen testing and it is positive. What would the nurse anticipate as the next step in the patient’s plan of care?
- A. No further testing is indicated at this time because results are normal.
- B. Refer to the physician for additional testing.
- C. Validate the results with the lab facility.
- D. Repeat the test in 2 weeks and have the patient return for her regularly scheduled prenatal visit.
Correct Answer: B
Rationale: A positive triple-screen test suggests an increased risk of genetic abnormalities, requiring additional diagnostic testing.
A woman who has had multiple cesarean sections is in labor. What is the most important complication to monitor for?
- A. Uterine rupture
- B. Precipitous labor
- C. Maternal hypotension
- D. Fetal malpresentation
Correct Answer: A
Rationale: Correct Answer: A: Uterine rupture
Rationale:
1. History of multiple cesarean sections increases the risk of uterine rupture.
2. Uterine rupture is a life-threatening complication for both mother and baby.
3. Signs include sudden severe abdominal pain, fetal distress, and hemodynamic instability.
4. Immediate intervention is crucial to prevent adverse outcomes.
Summary:
B: Precipitous labor - Quick labor is not specifically associated with multiple cesarean sections.
C: Maternal hypotension - Important but not the most critical complication in this scenario.
D: Fetal malpresentation - While important, it is not the most immediate concern compared to uterine rupture.
Which food is best for constipation relief?
- A. Pasta
- B. Rice
- C. Yogurt
- D. Celery
Correct Answer: D
Rationale: Celery is high in fiber and water, making it an effective choice for relieving constipation.
A patient who is about to undergo a cesarean section for breech presentation without fetal distress asks her nurse what kind of anesthesia would be best for her. The nurse explains that which of the following is the preferred method of anesthesia in this nonemergent case?
- A. Spinal block
- B. Epidural block
- C. General anesthesia
- D. Intravenous sedation
Correct Answer: A
Rationale: The correct answer is A: Spinal block. Spinal anesthesia provides rapid onset and reliable anesthesia for cesarean section, making it the preferred method in nonemergent cases. It is safe for both the mother and the baby, as it does not cross the placental barrier. Spinal anesthesia also allows for better pain control postoperatively compared to other methods.
Choice B (Epidural block) may be a suitable option, but spinal anesthesia is preferred due to its faster onset and reliability.
Choice C (General anesthesia) is not the preferred method in nonemergent cases as it carries more risks compared to regional anesthesia and may have adverse effects on the baby.
Choice D (Intravenous sedation) is not appropriate for cesarean section as it does not provide adequate anesthesia for the procedure and may not be safe for the baby.
The nurse is caring for a pregnant patient at 38 weeks gestation who is experiencing sudden, severe abdominal pain and vaginal bleeding. What should the nurse do first?
- A. Assess the fetal heart rate and prepare for delivery.
- B. Encourage the patient to rest and monitor for changes in symptoms.
- C. Call the healthcare provider immediately to report the symptoms.
- D. Provide pain relief and monitor the patient's vital signs.
Correct Answer: C
Rationale: The correct answer is C: Call the healthcare provider immediately to report the symptoms. This is the first step because sudden, severe abdominal pain and vaginal bleeding in a pregnant patient at 38 weeks gestation could indicate a serious complication such as placental abruption or preterm labor. Notifying the healthcare provider promptly allows for timely intervention and appropriate management.
Choice A is incorrect as assessing the fetal heart rate and preparing for delivery should not be the first action without consulting the healthcare provider. Choice B is incorrect as encouraging the patient to rest is not appropriate in this emergent situation. Choice D is incorrect as providing pain relief and monitoring vital signs should not take precedence over notifying the healthcare provider for further evaluation and management.