Maternal Fetal Monitoring

Maternal Fetal Monitoring Related

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The nurse is caring for a pregnant patient who is 32 weeks gestation and is concerned about the safety of taking prescription medications. Which response by the nurse is most appropriate?

  • A. You should avoid all prescription medications during pregnancy.
  • B. Consult with your healthcare provider to ensure the medications are safe for you and your baby.
  • C. Take your prescription medications as directed without any concerns during pregnancy.
  • D. You can take your prescription medications as long as they are not over-the-counter products.
Correct Answer: B

Rationale: The correct answer, B, is appropriate because it emphasizes the importance of consulting with a healthcare provider to ensure the safety of prescription medications during pregnancy. This step is crucial as healthcare providers can assess the risks versus benefits of medication use in pregnancy and provide personalized recommendations. Choice A is incorrect as some medications may be necessary for the health of the mother and baby. Choice C is incorrect as not all prescription medications are safe during pregnancy. Choice D is incorrect as the safety of prescription medications in pregnancy is not solely determined by whether they are over-the-counter or not. Consulting with a healthcare provider is the best course of action to ensure the well-being of both the mother and the baby.

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Transvaginal ultrasonography is often performed during the first trimester. What conditions may require this test? (Select all that apply.)

  • A. Multifetal gestation
  • B. Bicornuate uterus
  • C. Presence and location of pregnancy
  • D. Amniotic fluid volume
Correct Answer: C

Rationale: Transvaginal ultrasound is used to confirm fetal viability, assess multiple gestations, and check for uterine abnormalities.

The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, 'I do not need to stop smoking my electronic cigarette because it will not harm my baby.' Which is the best response by the nurse?

  • A. You are correct. Electronic cigarettes are not harmful during pregnancy.
  • B. Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity.
  • C. According to the FDA, although electronic cigarettes are safe for you, they can cause harm to the fetus during pregnancy.
  • D. Electronic cigarettes are considered harmful only in the first trimester.
Correct Answer: B

Rationale: The correct answer is B: Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity.

Rationale:
1. Nicotine from electronic cigarettes can cross the placenta, affecting fetal development.
2. Nicotine exposure during pregnancy is associated with adverse outcomes like low birth weight and preterm birth.
3. The best practice during pregnancy is to avoid all tobacco products, including electronic cigarettes.

Summary:
A: Incorrect. Electronic cigarettes can harm the fetus due to nicotine exposure.
C: Incorrect. FDA does not consider electronic cigarettes safe during pregnancy.
D: Incorrect. Harm from electronic cigarettes is not limited to the first trimester.

A father experiencing couvade syndrome is likely to exhibit which of the following symptoms/behaviors? Select all that apply.

  • A. Heartburn.
  • B. Promiscuity.
  • C. Hypertension.
  • D. Bloating.
Correct Answer: C

Rationale: Couvade syndrome involves sympathetic pregnancy symptoms in fathers, such as heartburn, bloating, and abdominal discomfort. Promiscuity is not typically associated with this condition.

What are the functions of amniotic fluid? (Select all that apply.)

  • A. Maintaining an even temperature
  • B. Impeding excessive fetal movement
  • C. Lubricating fetal skin
  • D. Acting as a reservoir for nutrients
Correct Answer: A

Rationale: The amniotic fluid provides maintenance of even temperature; prevents amnion from adhering to fetal skin; allows buoyancy, symmetrical growth, and fetal movement; and acts as a cushion for the fetus. Although the fetus does swallow amniotic fluid, it has no nutritional value. Impeding excessive fetal movement and lubricating fetal skin are not primary functions of amniotic fluid.

What are late FHR decelerations caused by?

  • A. Altered cerebral blood flow
  • B. Umbilical cord compression
  • C. Uteroplacental insufficiency
  • D. Meconium fluid
Correct Answer: C

Rationale: The correct answer is C: Uteroplacental insufficiency. Late FHR decelerations are caused by decreased blood flow and oxygen delivery to the fetus due to impaired uteroplacental circulation. This can result from conditions like placental abruption or placental insufficiency. Altered cerebral blood flow (A) is more related to early decelerations. Umbilical cord compression (B) typically causes variable decelerations. Meconium fluid (D) can lead to fetal distress but is not the primary cause of late decelerations.

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