Maternal Monitoring

Maternal Monitoring Related

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The nurse is caring for a woman who is pregnant and reports that she has used tobacco throughout her pregnancy. What is the most likely risk to her baby?

  • A. Neonatal death
  • B. Fetal alcohol syndrome
  • C. Low birth weight
  • D. Cerebral palsy
Correct Answer: C

Rationale: The correct answer is C: Low birth weight. Tobacco use during pregnancy is associated with several adverse outcomes, including low birth weight. Nicotine in tobacco can constrict blood vessels, reducing the flow of oxygen and nutrients to the baby, leading to poor growth and low birth weight. Neonatal death (A) is a severe outcome but not the most likely risk associated with tobacco use during pregnancy. Fetal alcohol syndrome (B) is caused by alcohol consumption, not tobacco use. Cerebral palsy (D) is a neurological condition not directly linked to tobacco use during pregnancy.

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A nurse is assessing a 26-week pregnant patient who is concerned about stretch marks. Which of the following interventions should the nurse suggest?

  • A. Use over-the-counter creams and lotions to prevent stretch marks.
  • B. There are no effective interventions to prevent stretch marks, but moisturizing the skin can help reduce discomfort.
  • C. Take vitamin supplements to improve skin elasticity and prevent stretch marks.
  • D. Stretch marks can be completely prevented by staying hydrated and exercising regularly.
Correct Answer: B

Rationale: The correct answer is B because stretch marks are primarily influenced by genetics and skin elasticity. Moisturizing the skin can help reduce discomfort associated with stretch marks but cannot prevent them entirely. A is incorrect because over-the-counter creams are not proven to prevent stretch marks. C is incorrect because while some vitamins may promote skin health, they cannot completely prevent stretch marks. D is incorrect because while staying hydrated and exercising are important for overall health, they cannot guarantee the prevention of stretch marks.

Which finding would the nurse view as normal when evaluating the laboratory reports of a 34-week gestation client?

  • A. Anemia.
  • B. Thrombocytopenia.
  • C. Polycythemia.
  • D. Hyperbilirubinemia.
Correct Answer: A

Rationale: Anemia is relatively common in pregnancy due to increased blood volume and iron demands. Polycythemia, thrombocytopenia, and hyperbilirubinemia are not typical findings.

A nurse is caring for a postpartum person who is breastfeeding. What is the most appropriate intervention if the person is experiencing nipple pain?

  • A. apply warm compresses
  • B. apply cold compresses
  • C. provide distraction techniques
  • D. apply lanolin cream
Correct Answer: B

Rationale: The correct answer is B: apply cold compresses. Cold compresses help reduce inflammation and numb the area, providing pain relief for sore nipples. Warm compresses can worsen pain by increasing blood flow. Distraction techniques do not address the root cause of nipple pain. Lanolin cream is commonly used for nipple pain, but it may not provide immediate relief like cold compresses. Cold compresses are the most appropriate intervention in this situation.

Which food should the nurse advise a pregnant woman to avoid?

  • A. Bologna
  • B. Cantaloupe
  • C. Asparagus
  • D. Popcorn
Correct Answer: A

Rationale: Bologna is a processed meat that may contain harmful bacteria like Listeria, posing risks during pregnancy.

Which statements about amniotic fluid are correct? Select all that apply.

  • A. Provides fetal nutrition
  • B. Cushions the fetus from injury
  • C. Enables the fetus to grow
  • D. Enables the fetus to practice swallowing
Correct Answer: D

Rationale: Amniotic fluid cushions the fetus, enables growth, maintains a stable thermal environment, and allows the fetus to practice swallowing.

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