Advanced Maternal Age Monitoring

Advanced Maternal Age Monitoring Related

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The nurse is caring for a pregnant patient who has a BMI of 30. Which of the following complications is the patient at increased risk for during pregnancy?

  • A. Preeclampsia and gestational diabetes
  • B. Hyperemesis gravidarum and miscarriage
  • C. Iron-deficiency anemia and urinary tract infections
  • D. Gestational hypertension and placenta previa
Correct Answer: A

Rationale: The correct answer is A: Preeclampsia and gestational diabetes. A pregnant patient with a BMI of 30 is considered obese, increasing the risk of developing preeclampsia and gestational diabetes. Obesity is a known risk factor for these complications due to the increased strain on the body's systems. Preeclampsia is characterized by high blood pressure and protein in the urine, which can lead to serious complications for both the mother and the baby. Gestational diabetes is a type of diabetes that develops during pregnancy and can lead to complications for both the mother and the baby if not managed properly. The other choices (B, C, D) are not directly associated with obesity or a BMI of 30 during pregnancy, making them incorrect.

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A pregnant patient at 24 weeks gestation reports pain in the lower abdomen and back. What is the nurse's first priority action?

  • A. Administer pain relief as prescribed and provide comfort measures.
  • B. Assess the patient for signs of preterm labor, including regular contractions.
  • C. Recommend the patient rest and apply heat to the affected area.
  • D. Instruct the patient to lie flat on her back and monitor the symptoms.
Correct Answer: B

Rationale: The correct answer is B: Assess the patient for signs of preterm labor, including regular contractions. At 24 weeks gestation, lower abdominal and back pain can indicate preterm labor, a serious complication. The nurse's first priority should be to assess for signs such as regular contractions, vaginal bleeding, pelvic pressure, or changes in vaginal discharge. Prompt identification of preterm labor allows for timely interventions to prevent preterm birth and its associated risks. Administering pain relief (choice A) without assessing for preterm labor can delay necessary interventions. Recommending rest and heat application (choice C) may not address the underlying cause of the pain. Instructing the patient to lie flat on her back (choice D) may worsen symptoms and is not recommended in pregnancy.

A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find?

  • A. Thin cervical muscle.
  • B. An enlarged ovary.
  • C. Thick cervical mucus.
  • D. Pale pink vaginal wall.
Correct Answer: B

Rationale: An enlarged ovary is a common finding in early pregnancy due to the corpus luteum. Thin cervical muscle, thick cervical mucus, and a pale pink vaginal wall are not typical findings at this stage.

A 37-week gravid client states that she noticed a 'white liquid' leaking from her breasts during a recent shower.

  • A. Advise the woman that she may have a galactocele.
  • B. Encourage the woman to pump her breasts to stimulate an adequate milk supply.
  • C. Assess the liquid because a breast discharge is diagnostic of a mammary infection.
  • D. Reassure the mother that this is normal in the third trimester.
Correct Answer: D

Rationale: In the third trimester, colostrum production can cause a white liquid to leak from the breasts. This is a normal physiological response as the body prepares for breastfeeding.

Which foods equal 1 ounce serving size from the grain group? Select all that apply.

  • A. 1 bagel
  • B. 1 slice of bread
  • C. 1 cup cooked pasta
  • D. 1 tortilla
Correct Answer: B

Rationale: 1 slice of bread and 1 tortilla each equal 1 ounce serving size. A bagel and 1 cup cooked pasta exceed this size.

A nurse is preparing a laboring person for an epidural block. What is the nurse's priority action before the procedure?

  • A. ensure the birthing person is positioned correctly
  • B. check for allergies to anesthesia
  • C. administer a test dose of anesthesia
  • D. administer IV fluids
Correct Answer: A

Rationale: The correct answer is A: ensure the birthing person is positioned correctly. This is the priority action because proper positioning is crucial for the safe and effective administration of an epidural block. Incorrect positioning can lead to complications such as inadequate pain relief, nerve damage, or difficulty in performing the procedure. Checking for allergies to anesthesia (B) is important but not the priority before positioning. Administering a test dose of anesthesia (C) should only be done after ensuring correct positioning. Administering IV fluids (D) is important but not the priority action before positioning.

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