Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

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The nurse is assessing a 38-week pregnant woman who is experiencing severe abdominal pain and has not felt her baby move for several hours. What is the most appropriate action for the nurse to take?

  • A. Encourage the patient to drink water and rest.
  • B. Notify the healthcare provider immediately.
  • C. Ask the patient to lie on her left side and monitor fetal movements.
  • D. Reassure the patient that this is common at the end of pregnancy.
Correct Answer: B

Rationale: The correct answer is B: Notify the healthcare provider immediately. This is the most appropriate action because the pregnant woman is experiencing severe abdominal pain and has not felt her baby move for several hours, which could indicate a potential emergency situation such as placental abruption or fetal distress. Prompt notification of the healthcare provider is crucial for timely evaluation and management to ensure the well-being of both the mother and the baby.

Choice A is incorrect because simply encouraging the patient to drink water and rest may delay necessary medical intervention. Choice C is incorrect as monitoring fetal movements without immediate healthcare provider notification may lead to a critical delay in assessment and treatment. Choice D is incorrect as reassuring the patient without further evaluation could overlook a serious issue.

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A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.

  • A. Pap smear.
  • B. Mammogram.
  • C. Glucose challenge test.
  • D. Biophysical profile.
Correct Answer: A

Rationale: A Pap smear and complete blood count are standard assessments during the first prenatal visit. A mammogram, glucose challenge test, and biophysical profile are not typically performed at this stage.

What factor should the nurse consider when counseling a Chinese immigrant?

  • A. Many Chinese eat little protein
  • B. Many Chinese believe in eating cold foods
  • C. Many Chinese are prone to anemia
  • D. Many Chinese believe strawberries cause birth defects
Correct Answer: D

Rationale: Cultural beliefs, such as the idea that strawberries might cause birth defects, should be considered to provide culturally sensitive care.

The nurse is caring for a pregnant patient who is at 25 weeks gestation and is concerned about gestational diabetes. Which of the following symptoms should the nurse educate the patient to watch for?

  • A. Increased thirst and frequent urination
  • B. Severe leg cramps and dizziness
  • C. Constant fatigue and swollen feet
  • D. Shortness of breath and dizziness upon standing
Correct Answer: A

Rationale: The correct answer is A: Increased thirst and frequent urination. These symptoms are indicative of gestational diabetes due to elevated blood sugar levels. Increased thirst is a result of the body trying to dilute the excess glucose through increased fluid intake, leading to frequent urination. This occurs because the kidneys work to eliminate the excess glucose from the blood by excreting it in the urine. Therefore, educating the patient to watch for these symptoms is crucial for early detection and management of gestational diabetes.

Choices B, C, and D are incorrect as they do not directly correlate with the symptoms of gestational diabetes. Severe leg cramps and dizziness (Choice B) may be related to other factors such as dehydration or electrolyte imbalance. Constant fatigue and swollen feet (Choice C) could be common symptoms during pregnancy but are not specific to gestational diabetes. Shortness of breath and dizziness upon standing (Choice D) are more likely to be related to issues such as anemia or changes

The nurse is assisting a couple to develop decisions for their birth plan. Which of the following decisions should be considered nonnegotiable by the parents?

  • A. Whether or not the father will be present during labor.
  • B. Whether or not the woman will have an episiotomy.
  • C. Whether or not the woman will be able to have an epidural.
  • D. Whether or not the father will be able to take pictures of the delivery.
Correct Answer: A

Rationale: The decision regarding the father's presence during labor is deeply personal and should respect the parents' wishes. Medical interventions like episiotomy or epidural can involve clinical judgment, but the presence of a partner is entirely up to the parents.

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.

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