Maternal Fetal Monitoring

Maternal Fetal Monitoring Related

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How long should clamping of the cord be delayed in an uncomplicated delivery to increase the newborn's hemoglobin levels and improve circulation?

  • A. 30–60 seconds
  • B. 15–30 seconds
  • C. 30 seconds
  • D. Delayed cord clamping is not recommended.
Correct Answer: A

Rationale: The correct answer is A (30-60 seconds) for delayed cord clamping in an uncomplicated delivery. Delaying cord clamping for 30-60 seconds allows more blood to flow from the placenta to the baby, increasing the baby's hemoglobin levels and improving circulation. This extra blood transfer can provide the baby with essential nutrients and oxygen, reducing the risk of anemia and improving overall health outcomes.

Choice B (15-30 seconds) may not provide enough time for sufficient blood transfer compared to the optimal window of 30-60 seconds.

Choice C (30 seconds) is within the recommended range, but 30-60 seconds is considered more beneficial for maximizing blood flow to the newborn.

Choice D (Delayed cord clamping is not recommended) is incorrect as delayed cord clamping has been shown to have various benefits for newborns when done in uncomplicated deliveries.

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The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide?

  • A. Pain management during labor.
  • B. Methods to relieve backaches.
  • C. Breastfeeding positions.
  • D. Characteristics of the newborn.
Correct Answer: B

Rationale: Backaches are a common complaint during pregnancy, and providing guidance on how to relieve them is a priority at this stage. Pain management during labor, breastfeeding positions, and newborn characteristics are typically addressed later in pregnancy.

A client makes the following statement after finding out that her pregnancy test is positive, 'This is not a good time. I am in college and the baby will be due during final exams!' Which of the following responses by the nurse would be most appropriate at this time?

  • A. I’m absolutely positive that everything will turn out all right.
  • B. I suggest that you e-mail your professors to set up an alternate plan.
  • C. It sounds like you’re feeling a little overwhelmed right now.
  • D. You and the baby’s father will find a way to get through the pregnancy.
Correct Answer: C

Rationale: Acknowledging the client's feelings of being overwhelmed is the most supportive response. Offering solutions or reassurance without first addressing the client's emotions may not be as effective.

Which factors should be considered a contraindication for transcervical chorionic villus sampling?

  • A. Rh-negative mother
  • B. Gestation less than 15 weeks
  • C. Maternal age younger than 35 years
  • D. Positive for group B Streptococcus
Correct Answer: D

Rationale: Maternal infection, such as group B Streptococcus, is a contraindication for the procedure due to the risk of infection.

A nurse is assisting with a vaginal delivery. What is the most important action when the fetal head begins to crown?

  • A. apply gentle downward pressure
  • B. perform perineal massage
  • C. perform a vaginal exam
  • D. assist with breathing exercises
Correct Answer: A

Rationale: The correct answer is A: apply gentle downward pressure. This action helps prevent rapid delivery, reducing the risk of tearing and allowing the perineum to stretch gradually. It also helps control the delivery, ensuring a safe and controlled birth process. Performing perineal massage (B) is beneficial during the pushing stage but is not the most important action when the head crowns. Performing a vaginal exam (C) is unnecessary and may increase the risk of infection. Assisting with breathing exercises (D) is important during labor but not specifically when the head crowns.

How should the nurse respond to a concern about alcohol exposure during conception?

  • A. Inform the doctor
  • B. Reassure it's unlikely the baby was affected
  • C. Suggest abortion
  • D. Recommend ultrasound
Correct Answer: B

Rationale: Occasional alcohol exposure around conception is unlikely to cause significant harm, though ongoing abstinence is advised.

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