Maternity Heartbeat Monitor

Maternity Heartbeat Monitor Related

Review Maternity Heartbeat Monitor related questions and content

The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about the upcoming delivery. Which of the following statements by the nurse is most appropriate?

  • A. Labor will likely be quick and easy, especially since this is your first pregnancy.
  • B. Labor can be unpredictable, and each birth is different.
  • C. You will probably need a cesarean section since you are at full term.
  • D. You may not feel any pain during labor because of modern pain relief options.
Correct Answer: B

Rationale: The correct answer is B: "Labor can be unpredictable, and each birth is different." This response acknowledges the variability and individuality of labor experiences, providing reassurance to the patient. Labor outcomes depend on various factors such as maternal health, baby's position, and other unforeseen circumstances.

Explanation:
1. A (Labor will likely be quick and easy, especially since this is your first pregnancy): This statement is incorrect because the duration and ease of labor are not solely determined by the patient's parity (number of pregnancies). Each labor is unique and may vary in length and intensity regardless of previous pregnancies.
2. C (You will probably need a cesarean section since you are at full term): This statement is incorrect as the majority of pregnant women deliver vaginally at full term. Cesarean section is not a predetermined outcome solely based on gestational age.
3. D (You may not feel any pain during labor because of modern pain relief options): This statement is incorrect because pain

You may also like to solve these questions

A nurse is monitoring a postpartum person for signs of infection. Which finding would be most concerning in the first 24 hours after delivery?

  • A. fever
  • B. foul-smelling lochia
  • C. increased blood pressure
  • D. increased heart rate
Correct Answer: A

Rationale: The correct answer is A: fever. A fever in the first 24 hours after delivery is most concerning as it may indicate an infection, such as endometritis, which can lead to serious complications if not promptly treated. Postpartum fever is often the earliest sign of infection due to retained products of conception or ascending genital tract infection. Monitoring for fever is crucial as it can help prevent sepsis. Foul-smelling lochia (choice B) may suggest infection but is not as immediate a concern as fever. Increased blood pressure (choice C) and heart rate (choice D) may be normal physiological responses to delivery and are not specific indicators of infection in the immediate postpartum period.

A pregnant patient is 26 weeks gestation and reports difficulty breathing when lying flat. What should the nurse recommend?

  • A. Encourage the patient to sleep on the left side to improve circulation and reduce pressure on the diaphragm.
  • B. Recommend sleeping in a fully reclined position to prevent shortness of breath.
  • C. Administer oxygen as prescribed to ensure proper oxygenation.
  • D. Instruct the patient to lie flat on her back and use a pillow for support.
Correct Answer: A

Rationale: The correct answer is A: Encourage the patient to sleep on the left side to improve circulation and reduce pressure on the diaphragm. At 26 weeks gestation, the uterus can compress the inferior vena cava when lying flat on the back, leading to decreased blood return to the heart and reduced cardiac output, causing difficulty breathing. Sleeping on the left side helps improve circulation by reducing pressure on the vena cava, enhancing blood flow and oxygenation to the fetus and mother.

Incorrect options:
B: Recommending sleeping in a fully reclined position may not alleviate the compression on the vena cava and could potentially worsen the patient's symptoms.
C: Administering oxygen may help with oxygenation but does not address the underlying issue of vena cava compression due to the growing uterus.
D: Instructing the patient to lie flat on her back can exacerbate the issue by further compressing the vena cava, worsening breathing difficulties.

A pregnant woman in her second trimester asks the nurse about taking herbal supplements to alleviate nausea. Which of the following is the nurse's best response?

  • A. It is safe to take any herbal supplement during pregnancy.
  • B. Some herbal supplements may cause harm to your pregnancy, and it's best to consult your doctor.
  • C. Only certain over-the-counter medications are safe, not herbal supplements.
  • D. Herbal supplements are more effective than prescription medications for nausea.
Correct Answer: B

Rationale: The correct answer is B because herbal supplements can vary in safety during pregnancy. It is always recommended to consult a healthcare provider before taking any supplements, as some herbs may potentially harm the pregnancy or interact with other medications. Answer A is incorrect as not all herbal supplements are safe during pregnancy. Answer C is incorrect as some herbal supplements may be safe if recommended by a healthcare provider. Answer D is incorrect as prescription medications are often more rigorously tested and regulated for safety during pregnancy compared to herbal supplements.

A pregnant patient at 32 weeks gestation reports increased pressure in the pelvic area and mild cramping. What should the nurse assess first?

  • A. The fetal heart rate and signs of labor.
  • B. The patient's blood pressure and urine for protein.
  • C. The presence of vaginal discharge or bleeding.
  • D. The patient's dietary intake and hydration status.
Correct Answer: A

Rationale: The correct answer is A: The fetal heart rate and signs of labor. At 32 weeks gestation, any pelvic pressure and cramping could be indicative of preterm labor, which is a critical concern. Assessing the fetal heart rate can help determine fetal well-being and signs of distress. Monitoring for signs of labor such as contractions, cervical changes, and rupture of membranes is essential for timely intervention.

Choice B: Assessing blood pressure and urine for protein is important in monitoring for preeclampsia, but it is not the priority in this case where signs of preterm labor are reported.

Choice C: Vaginal discharge or bleeding could indicate various conditions, but in this scenario, the focus should be on ruling out preterm labor first.

Choice D: Dietary intake and hydration status are important aspects of prenatal care, but they are not the priority when assessing a pregnant patient reporting pelvic pressure and cramping at 32 weeks gestation.

A patient in labor is receiving Pitocin to augment contractions. The fetal heart rate shows late decelerations. What is the most appropriate intervention?

  • A. Stop the Pitocin infusion
  • B. Administer oxygen to the mother
  • C. Change the patient's position
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D because it addresses the potential causes of late decelerations comprehensively. Stopping Pitocin helps to eliminate uteroplacental insufficiency, administering oxygen improves fetal oxygenation, and changing the patient's position can alleviate pressure on the umbilical cord. Each intervention targets a different aspect contributing to late decelerations, making it crucial to implement all of them to optimize fetal well-being.

Copyright © 2025 Nokea. All rights reserved.