Monitoring Baby During Labour

Monitoring Baby During Labour Related

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The nurse is caring for a 32-year-old pregnant patient who is 20 weeks gestation and has a BMI of 40. Which of the following conditions should the nurse monitor for more closely?

  • A. Gestational diabetes and preeclampsia
  • B. Hyperemesis gravidarum
  • C. Iron-deficiency anemia
  • D. Intrauterine growth restriction (IUGR)
Correct Answer: A

Rationale: The correct answer is A: Gestational diabetes and preeclampsia. A BMI of 40 indicates obesity, which increases the risk of developing gestational diabetes and preeclampsia. Obesity is a significant risk factor for these conditions due to the increased strain on the body during pregnancy. Gestational diabetes can lead to complications for both the mother and the baby, while preeclampsia can be life-threatening if not managed properly. Monitoring for these conditions closely is crucial in this high-risk patient.

Incorrect Choices:
B: Hyperemesis gravidarum - This condition is characterized by severe nausea and vomiting during pregnancy and is not directly related to the patient's BMI.
C: Iron-deficiency anemia - While obesity can impact iron levels, it is not the primary concern in this scenario.
D: Intrauterine growth restriction (IUGR) - While obesity can increase the risk of certain pregnancy complications, IUGR is not directly linked to the patient's

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During a preconception counseling session, the nurse encourages a couple to prepare a birth plan.

  • A. Promote communication between the couple and health care professionals.
  • B. Enable the couple to learn about the types of pain medicine used in labor.
  • C. Provide the couple with a list of items that they should take to the hospital for the labor and delivery.
  • D. Give the high-risk couple a sense of control over the likelihood of having a surgical delivery.
Correct Answer: A

Rationale: A birth plan fosters open communication between the couple and healthcare providers, ensuring that expectations and preferences are understood.

A woman in labor is receiving magnesium sulfate for preterm labor. What should the nurse monitor closely during this treatment?

  • A. Deep tendon reflexes
  • B. Respiratory rate
  • C. Maternal blood pressure
  • D. Fetal heart rate
Correct Answer: A

Rationale: The correct answer is A: Deep tendon reflexes. Magnesium sulfate can cause muscle weakness and respiratory depression due to its effect on the central nervous system. Monitoring deep tendon reflexes helps assess for magnesium toxicity. Respiratory rate (B) should also be monitored, but it is not the most critical parameter for magnesium sulfate. Maternal blood pressure (C) is important, but changes are usually gradual and not directly related to magnesium sulfate. Fetal heart rate (D) is crucial, but in this case, the focus should be on the mother's response to the medication.

Organize the developmental stages in the correct order. Put a comma and space between each answer choice (a, b, c, d, etc.)

  • A. Zygote
  • B. Morula
  • C. Blastocyst
  • D. Embryo
Correct Answer: B

Rationale: Fetal development progresses through several stages: zygote, morula, blastocyst, embryo, and fetus. Each stage represents a critical phase in the formation and growth of the embryo.

What is the primary goal of fetal heart rate monitoring during the second stage of labor?

  • A. to predict when to bear down during contractions
  • B. to determine the strength of the uterine contractions
  • C. to evaluate fetal well-being
  • D. to monitor vital signs of the birthing person
Correct Answer: C

Rationale: The primary goal of fetal heart rate monitoring during the second stage of labor is to evaluate fetal well-being. This is crucial to ensure that the baby is tolerating labor and delivery well. Monitoring fetal heart rate helps identify any signs of distress or compromise in oxygen supply to the baby. It guides healthcare providers in making timely interventions if needed to prevent adverse outcomes. Choices A and B are incorrect because the primary goal is not about timing contractions or assessing uterine contractions strength. Choice D is incorrect as the focus is not on monitoring the vital signs of the birthing person but on assessing the well-being of the fetus.

A nurse is providing prenatal care to a 24-week pregnant patient. Which of the following findings should be reported immediately?

  • A. Mild leg swelling and varicosities
  • B. Slight back pain and cramping
  • C. Severe headaches and visual disturbances
  • D. Increased appetite and weight gain
Correct Answer: C

Rationale: The correct answer is C: Severe headaches and visual disturbances. These symptoms can indicate a serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for both the mother and the baby. Severe headaches and visual disturbances are signs of increased blood pressure, protein in the urine, and potential organ damage. Reporting these findings promptly allows for timely intervention.

Incorrect choices:
A: Mild leg swelling and varicosities are common in pregnancy and typically not urgent unless accompanied by other concerning symptoms.
B: Slight back pain and cramping are common discomforts in pregnancy and may not indicate a serious issue unless they are severe or persistent.
D: Increased appetite and weight gain are expected during pregnancy and may not require immediate reporting unless there are other concerning symptoms present.

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