Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

Review Atrium Health Womens Care Maternal Fetal Monitoring related questions and content

The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at higher risk for?

  • A. Intestinal problems
  • B. Neonatal conjunctivitis
  • C. Blindness
  • D. Pneumonia
Correct Answer: B

Rationale: Step 1: The patient tested negative for chlamydia, syphilis, gonorrhea, and HIV, reducing the risk of transmission of these infections to the baby.
Step 2: Neonatal conjunctivitis is commonly caused by exposure to maternal genital tract bacteria during birth.
Step 3: Since the patient tested negative for the common infections, neonatal conjunctivitis becomes the higher risk for the baby.
Summary: A, C, and D are not directly related to the information provided, making them incorrect choices. Neonatal conjunctivitis is the most likely risk due to maternal genital tract bacteria exposure during birth.

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Which clinical conditions are associated with increased levels of alpha-fetoprotein (AFP)? (Select all that apply.)

  • A. Down syndrome
  • B. Molar pregnancy
  • C. Twin gestation
  • D. Incorrect gestational age assessment of a normal fetus—estimation is earlier in the pregnancy
Correct Answer: C

Rationale: Elevated AFP levels are seen in multiple gestations, miscalculated gestational age, and threatened abortion.

The nurse is caring for a pregnant patient who has been diagnosed with iron-deficiency anemia. Which of the following should the nurse recommend to improve iron absorption?

  • A. Take iron supplements with milk to increase absorption.
  • B. Take iron supplements with a vitamin C source, such as orange juice.
  • C. Take iron supplements with calcium-rich foods to improve absorption.
  • D. Take iron supplements with coffee or tea to aid absorption.
Correct Answer: B

Rationale: The correct answer is B: Take iron supplements with a vitamin C source, such as orange juice. Vitamin C enhances iron absorption by converting non-heme iron (plant-based) into a more absorbable form. This combination increases the bioavailability of iron. Options A, C, and D are incorrect. A: Taking iron supplements with milk can decrease iron absorption due to calcium and casein in milk inhibiting iron absorption. C: Calcium-rich foods can inhibit iron absorption when taken together. D: Coffee and tea contain tannins that can inhibit iron absorption.

A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2012. Using Nagele’s rule, the nurse calculates the client’s estimated date of delivery as:

  • A. May 30, 2013.
  • B. June 20, 2013.
  • C. June 27, 2013.
  • D. July 3, 2013.
Correct Answer: C

Rationale: Using Nagele’s rule (adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding 1 year), the calculated EDD is June 27, 2013.

A nurse is assisting a laboring person with a vacuum extraction. What is the most important nursing action to ensure a safe procedure?

  • A. monitor fetal heart rate continuously
  • B. prepare the person for a cesarean section
  • C. monitor for signs of uterine rupture
  • D. assist with positioning the person
Correct Answer: B

Rationale: The correct answer is B: prepare the person for a cesarean section. In the scenario of vacuum extraction, if there are complications or the procedure is unsuccessful, the person may need to undergo an emergency cesarean section. By preparing the person for this possibility, the nurse ensures timely intervention if needed, prioritizing the safety of both the person and the baby. Monitoring fetal heart rate continuously (A) is important but not the most crucial action in this case. Monitoring for signs of uterine rupture (C) is not directly related to vacuum extraction. Assisting with positioning (D) is important but not as critical as preparing for a potential cesarean section.

A woman is 36 weeks’ gestation. Which of the following tests will be done during her prenatal visit?

  • A. Glucose challenge test.
  • B. Amniotic fluid volume assessment.
  • C. Vaginal and rectal cultures.
  • D. Karyotype analysis.
Correct Answer: C

Rationale: Vaginal and rectal cultures are performed to check for Group B Streptococcus (GBS), which can affect the newborn. Glucose challenge tests are typically done earlier in pregnancy, and karyotype analysis is not routine.

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