External Maternal Monitoring

External Maternal Monitoring Related

Review External Maternal Monitoring related questions and content

The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about preterm labor. Which of the following is a key sign of preterm labor?

  • A. Regular contractions every 10 minutes or less
  • B. Decreased fetal movement
  • C. Mild cramping and back pain
  • D. Increased energy levels and appetite
Correct Answer: A

Rationale: The correct answer is A: Regular contractions every 10 minutes or less. This is a key sign of preterm labor because regular contractions at this frequency could indicate the onset of labor before the full term. Contractions help to thin and dilate the cervix, leading to the birth of the baby. Decreased fetal movement (B) is a concerning sign but not a definitive indicator of preterm labor. Mild cramping and back pain (C) can be common in pregnancy and may not necessarily indicate preterm labor. Increased energy levels and appetite (D) are not typical signs of preterm labor, as the body usually shows signs of preparing for labor rather than increased energy levels.

You may also like to solve these questions

Which statement about fetal circulation is correct?

  • A. The foramen ovale is between ventricles
  • B. Umbilical vein contains oxygen-poor blood
  • C. Right atrium contains mixed blood
  • D. Ductus venosus lies between aorta and pulmonary artery
Correct Answer: C

Rationale: The right atrium contains both oxygen-rich and oxygen-poor blood due to the unique fetal circulatory system.

Where is the usual location for implantation of the zygote?

  • A. Upper section of the posterior uterine wall
  • B. Lower portion of the uterus near the cervical os
  • C. Inner third of the fallopian tube near the uterus
  • D. Lateral aspect of the uterine wall
Correct Answer: A

Rationale: The zygote usually implants in the upper section of the posterior uterine wall.

A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil?

  • A. Diarrhea.
  • B. Pedal edema.
  • C. Blurred vision.
  • D. Tinnitus.
Correct Answer: A

Rationale: Diarrhea is a known side effect of evening primrose oil. Pedal edema, blurred vision, and tinnitus are not typically associated with its use.

The nurse is educating the pregnant patient with a body mass index (BMI) of 33. The nurse knows that teaching has been effective when the patient states which of the following?

  • A. My child may be at increased risk for birth injury.
  • B. My child may have a decreased risk of developing childhood diabetes.
  • C. I will probably give birth vaginally.
  • D. I have a lower risk of developing gestational hypertension.
Correct Answer: A

Rationale: The correct answer is A: "My child may be at increased risk for birth injury." This is correct because a pregnant patient with a BMI of 33 is considered obese, which can increase the risk of birth injury to the baby due to complications such as macrosomia (large birth weight).

Explanation:
1. Obesity in pregnancy can lead to complications such as macrosomia, shoulder dystocia, and birth trauma.
2. Higher BMI can also increase the risk of cesarean delivery, which may be necessary to prevent birth injuries.
3. Childhood diabetes risk is not decreased with maternal obesity.
4. Mode of delivery (vaginal or cesarean) is not solely determined by BMI.
5. Gestational hypertension risk is actually higher in women with obesity.

In summary, choice A is correct because it directly relates to the increased risk of birth injury associated with maternal obesity, while the other choices are not directly linked to the patient's BMI and pregnancy complications.

A client is 15 weeks pregnant. She calls the obstetric office to request a medication for a headache. The nurse answers the telephone. Which of the following is the nurse’s best response?

  • A. Because the organ systems in the baby are developing right now, it is risky to take medicine.
  • B. You can take any of the over-the-counter medications because they are all safe in pregnancy.
  • C. The physician will prescribe a category 'X' medication for you.
  • D. You can take acetaminophen because it is a category 'B' medicine.
Correct Answer: D

Rationale: Acetaminophen is a category 'B' medication, which is considered safe during pregnancy. Other over-the-counter medications may not be safe, and category 'X' medications are contraindicated.

Copyright © 2025 Nokea. All rights reserved.