Monitoring Baby During Labour

Monitoring Baby During Labour Related

Review Monitoring Baby During Labour related questions and content

The nurse is caring for a pregnant patient who is at 30 weeks gestation and has been diagnosed with gestational diabetes. Which of the following is the most important aspect of the patient's care plan?

  • A. Maintaining a healthy weight gain during pregnancy.
  • B. Monitoring blood glucose levels and maintaining a balanced diet.
  • C. Increasing fluid intake to reduce the risk of dehydration.
  • D. Administering insulin to control blood sugar levels.
Correct Answer: B

Rationale: The correct answer is B: Monitoring blood glucose levels and maintaining a balanced diet. This is the most important aspect of care for a pregnant patient with gestational diabetes because it helps control blood sugar levels, reducing the risk of complications for both the mother and the baby. Monitoring blood glucose levels ensures that the patient's blood sugar remains within the target range, while maintaining a balanced diet helps provide essential nutrients without causing spikes in blood sugar levels.

A: Maintaining a healthy weight gain during pregnancy is important but not as crucial as monitoring blood glucose levels for a patient with gestational diabetes.
C: Increasing fluid intake is important for overall health during pregnancy, but it is not the most critical aspect of care for a patient with gestational diabetes.
D: Administering insulin may be necessary in some cases, but it is not the most important aspect of care compared to monitoring blood glucose levels and maintaining a balanced diet.

You may also like to solve these questions

Which spice is safe for nausea and vomiting during pregnancy?

  • A. Ginger
  • B. Sage
  • C. Cloves
  • D. Nutmeg
Correct Answer: A

Rationale: Ginger is widely recognized as a safe and effective complementary therapy for managing nausea and vomiting during pregnancy.

A nurse is providing prenatal education to a pregnant patient who is at 30 weeks gestation. Which of the following symptoms should the nurse instruct the patient to report immediately?

  • A. Mild back pain and cramping.
  • B. Feeling of pelvic pressure after physical activity.
  • C. Regular contractions every 10 minutes or less.
  • D. Occasional headaches and fatigue.
Correct Answer: C

Rationale: The correct answer is C. Regular contractions every 10 minutes or less can indicate preterm labor, which is a serious concern at 30 weeks gestation. The nurse should instruct the patient to report this immediately for further evaluation to prevent premature delivery.

A: Mild back pain and cramping are common discomforts during pregnancy and may not be alarming at this stage.
B: Feeling of pelvic pressure after physical activity is also common during pregnancy and does not necessarily indicate an urgent issue.
D: Occasional headaches and fatigue are common symptoms in pregnancy and do not typically require immediate attention unless they are severe or persistent.

The nurse is caring for a pregnant patient who is 24 weeks gestation and reports nausea, vomiting, and weight loss. What is the most appropriate action for the nurse to take?

  • A. Instruct the patient to eat a high-protein diet and avoid fluids during meals.
  • B. Encourage the patient to rest and avoid any exercise.
  • C. Assess the patient's hydration status and notify the healthcare provider if necessary.
  • D. Recommend over-the-counter anti-nausea medications to control symptoms.
Correct Answer: C

Rationale: The correct answer is C: Assess the patient's hydration status and notify the healthcare provider if necessary.

Rationale:
1. Nausea, vomiting, and weight loss in pregnancy may indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances.
2. Assessing hydration status is crucial to determine the severity of the condition and guide appropriate interventions.
3. Notifying the healthcare provider allows for further evaluation, possible treatment adjustments, and monitoring to prevent complications.

Summary:
A: Instructing the patient to eat a high-protein diet and avoid fluids during meals does not address the immediate concern of dehydration and may worsen symptoms.
B: Encouraging the patient to rest and avoid exercise is important but does not address the primary issue of dehydration.
D: Recommending over-the-counter anti-nausea medications may provide symptomatic relief but does not address the underlying cause or hydration status.

Which of the following is a common cause of uterine atony?

  • A. uterine overdistention
  • B. excessive uterine contractions
  • C. placental abruption
  • D. infection or retained placenta
Correct Answer: A

Rationale: The correct answer is A: uterine overdistention. Uterine atony is when the uterus fails to contract effectively after childbirth. Overdistention, such as from multiple gestation or large baby, can stretch the uterus, leading to poor muscle tone. This results in inadequate contractions to control bleeding. Excessive uterine contractions (B) are not a common cause but rather can lead to other issues like uterine rupture. Placental abruption (C) is the premature separation of the placenta from the uterus, causing bleeding but not directly related to atony. Infection or retained placenta (D) can contribute to uterine atony but are not common primary causes.

A client asks the nurse, “Could you explain how the baby’s blood and my blood separate at delivery?” Which of the following responses is appropriate for the nurse to make?

  • A. When the placenta is born, the circulatory systems separate.
  • B. When the doctor clamps the cord, the blood stops mixing.
  • C. The separation happens after the baby takes the first breath. The baby’s oxygen no longer has to come from you.
  • D. The blood actually never mixes. Your blood supply and the baby’s blood supply are completely separate.
Correct Answer: D

Rationale: During pregnancy, the mother's and baby's blood supplies do not mix. The placenta acts as a barrier and facilitates the exchange of nutrients, gases, and waste products between the maternal and fetal bloodstreams without direct mixing. This ensures that each individual maintains their own circulatory system.

Copyright © 2025 Nokea. All rights reserved.