Atrium Health Womens Care Maternal Fetal Monitoring

Atrium Health Womens Care Maternal Fetal Monitoring Related

Review Atrium Health Womens Care Maternal Fetal Monitoring related questions and content

The nurse is caring for a pregnant patient who is at 30 weeks gestation and is diagnosed with preterm labor. What intervention is the nurse likely to implement first?

  • A. Administering corticosteroids to enhance fetal lung maturity
  • B. Administering magnesium sulfate to prevent seizures
  • C. Administering antibiotics to prevent infection
  • D. Starting a medication to stop the contractions
Correct Answer: A

Rationale: The correct answer is A: Administering corticosteroids to enhance fetal lung maturity. Administering corticosteroids is the priority intervention in preterm labor at 30 weeks gestation as it helps accelerate fetal lung maturity, reducing the risk of respiratory distress syndrome. This intervention is crucial in improving neonatal outcomes. Administering magnesium sulfate (Choice B) is used to prevent seizures in preeclampsia, not preterm labor. Administering antibiotics (Choice C) is not the priority in preterm labor unless there is evidence of infection. Starting a medication to stop contractions (Choice D) may be necessary, but enhancing fetal lung maturity takes precedence to improve the baby's respiratory status.

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A woman states that she frequently awakens with 'painful leg cramps' during the night. Which of the following assessments should the nurse make?

  • A. Dietary evaluation.
  • B. Goodell’s sign.
  • C. Hegar’s sign.
  • D. Posture evaluation.
Correct Answer: A

Rationale: Leg cramps during pregnancy are often related to dietary deficiencies, particularly calcium and magnesium. A dietary evaluation is the most appropriate assessment.

The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?

  • A. Prenatal vitamins will help ensure my baby is getting the nutrients it needs.
  • B. I will take prenatal vitamins every day as prescribed by my doctor.
  • C. I will stop taking prenatal vitamins if I feel nauseous.
  • D. Prenatal vitamins should be taken throughout the entire pregnancy.
Correct Answer: C

Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.

A nurse is preparing a laboring person for a cesarean birth. What is the most important action before the procedure?

  • A. administer preoperative medication
  • B. administer preoperative antibiotics
  • C. assist with perineal care
  • D. apply pressure to the abdomen
Correct Answer: A

Rationale: The correct answer is A: administer preoperative medication. Before a cesarean birth, it is crucial to administer preoperative medication to ensure the person's comfort and safety during the procedure. This medication can include pain relief and sedatives to manage anxiety. Administering antibiotics (choice B) is important to prevent infection, but it typically occurs after preoperative medication. Assisting with perineal care (choice C) and applying pressure to the abdomen (choice D) are not necessary steps before a cesarean birth.

The nurse is providing anticipatory guidance to a woman in her second trimester regarding signs/symptoms that are within normal limits during the latter half of the pregnancy.

  • A. During the third trimester I may experience frequent urination.
  • B. During the third trimester I may experience heartburn.
  • C. During the third trimester I may experience nagging backaches.
  • D. During the third trimester I may experience persistent headache.
Correct Answer: A

Rationale: Frequent urination, heartburn, and backaches are common during the third trimester due to the growing uterus putting pressure on the bladder and digestive system, as well as changes in posture. Persistent headaches are not normal and should be reported.

Which B vitamin should a vegan supplement?

  • A. B1 (thiamine)
  • B. B2 (niacin)
  • C. B6 (pyridoxine)
  • D. B12 (cobalamin)
Correct Answer: D

Rationale: Vitamin B12 is primarily found in animal products, so vegans are at risk of deficiency and should supplement with B12.

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