Maternal Monitoring

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The nurse is educating a pregnant patient about the importance of prenatal vitamins. Which statement by the patient indicates effective teaching?

  • A. I will take prenatal vitamins only during the first trimester.
  • B. I will take prenatal vitamins throughout the pregnancy to support my baby's growth.
  • C. Prenatal vitamins are only necessary if I have a history of birth defects in my family.
  • D. I should stop taking prenatal vitamins after the baby is born.
Correct Answer: B

Rationale: The correct answer is B: "I will take prenatal vitamins throughout the pregnancy to support my baby's growth." This statement indicates effective teaching because prenatal vitamins are essential for the entire duration of pregnancy to support the developing baby's growth and development. Prenatal vitamins contain key nutrients like folic acid, iron, and calcium that are crucial for the health of both the mother and the baby throughout the pregnancy. Taking prenatal vitamins only during the first trimester (option A) may not provide adequate support for the baby's growth during the entire pregnancy. Option C is incorrect because prenatal vitamins are recommended for all pregnant women, regardless of their family history of birth defects. Option D is incorrect because stopping prenatal vitamins after the baby is born does not align with the need to support the mother's postpartum health and potential breastfeeding needs.

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Which analysis of maternal serum is the best predictor of chromosomal abnormalities in the fetus?

  • A. Biophysical profile
  • B. Multiple-marker screening
  • C. Lecithin-to-sphingomyelin ratio
  • D. Blood type and crossmatch of maternal and fetal serum
Correct Answer: B

Rationale: Multiple-marker screening analyzes maternal serum for abnormal levels of AFP, hCG, inhibin A, and estriol to detect chromosomal defects.

A pregnant patient is 28 weeks gestation and is concerned about gaining too much weight. Which of the following is most important for the nurse to emphasize?

  • A. Weight gain should be within the recommended range for pregnancy, and any concerns should be discussed with the healthcare provider.
  • B. The patient should not worry about weight gain, as it is inevitable during pregnancy.
  • C. Excessive weight gain can increase the risk of complications such as gestational diabetes and preeclampsia.
  • D. The patient should limit caloric intake to avoid gaining more than the recommended amount of weight.
Correct Answer: C

Rationale: The correct answer is C because excessive weight gain during pregnancy can indeed increase the risk of complications such as gestational diabetes and preeclampsia. By emphasizing this point, the nurse can help the patient understand the importance of monitoring their weight gain to promote a healthy pregnancy.

Choice A is not as strong because it focuses more on discussing concerns with the healthcare provider rather than the specific risks associated with excessive weight gain. Choice B is incorrect as weight gain during pregnancy should be monitored and managed appropriately. Choice D is also incorrect as it suggests limiting caloric intake, which may not be safe or appropriate for the patient and her developing fetus.

A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?

  • A. It is a purplish stretch mark on your abdomen.
  • B. It means that you are having heart palpitations.
  • C. It is a bluish coloration of your cervix and vagina.
  • D. It means the doctor heard abnormal sounds when you breathed in.
Correct Answer: C

Rationale: Chadwick’s sign is a bluish coloration of the cervix and vagina due to increased blood flow, which is a common early sign of pregnancy.

The nurse is caring for a pregnant patient who is 34 weeks gestation and is concerned about the safety of using herbal remedies. What is the nurse's most appropriate response?

  • A. Herbal remedies are always safe during pregnancy as long as they are natural.
  • B. You should avoid all herbal remedies during pregnancy without consulting your healthcare provider.
  • C. Herbal remedies are only unsafe during the first trimester of pregnancy.
  • D. Herbal remedies are safe as long as they are purchased from a reputable source.
Correct Answer: B

Rationale: The correct answer is B because pregnant patients should avoid all herbal remedies without consulting their healthcare provider. During pregnancy, there can be potential risks associated with herbal remedies, as their safety and efficacy are not well studied. It is crucial for healthcare providers to assess the individual patient's medical history and current health status before recommending any herbal remedies.

Choice A is incorrect because not all herbal remedies are safe during pregnancy, regardless of being natural. Choice C is incorrect because herbal remedies can pose risks throughout pregnancy, not just in the first trimester. Choice D is incorrect because the safety of herbal remedies cannot be guaranteed solely by purchasing them from a reputable source. Consulting a healthcare provider is essential to ensure the safety of both the mother and the baby.

A nurse is caring for a laboring person who is in the first stage of labor. What is the most important assessment to perform during this stage?

  • A. assess fetal heart rate
  • B. monitor contractions
  • C. check blood pressure
  • D. assist with breathing exercises
Correct Answer: A

Rationale: The correct answer is A: assess fetal heart rate. During the first stage of labor, monitoring the fetal heart rate is crucial as it indicates the well-being of the baby. Changes in fetal heart rate can signal distress and prompt intervention. Monitoring contractions is important but assessing fetal well-being takes precedence. Checking blood pressure is important but not the most critical in this stage. Assisting with breathing exercises can help manage pain, but assessing fetal heart rate is more crucial for ensuring the baby's safety.

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