External Maternal Monitoring

External Maternal Monitoring Related

Review External Maternal Monitoring related questions and content

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.

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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.

A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits?

  • A. Leg cramps.
  • B. Varicose veins.
  • C. Hemorrhoids.
  • D. Fainting spells.
Correct Answer: A

Rationale: Leg cramps, varicose veins, and hemorrhoids are common complaints during pregnancy due to increased blood volume and pressure on the lower extremities. Fainting spells are not considered normal and may indicate an underlying issue.

A pregnant patient is at 28 weeks gestation and reports occasional headaches and blurred vision. What is the nurse's priority action?

  • A. Monitor the patient's blood pressure and check for signs of preeclampsia.
  • B. Administer pain relief and encourage the patient to rest.
  • C. Assess the patient's vision and schedule an appointment with an eye specialist.
  • D. Encourage the patient to drink fluids and avoid strenuous activity.
Correct Answer: A

Rationale: The correct answer is A: Monitor the patient's blood pressure and check for signs of preeclampsia.

1. Headaches and blurred vision are common symptoms of preeclampsia.
2. Preeclampsia is a serious condition that can lead to complications for both the mother and baby.
3. Monitoring blood pressure is crucial in diagnosing preeclampsia and determining the appropriate course of action.
4. Prompt assessment and management of preeclampsia are essential to prevent further complications.

Incorrect choices:
B: Administering pain relief and encouraging rest does not address the underlying cause of the symptoms, which could be preeclampsia.
C: Assessing vision and scheduling an appointment with an eye specialist does not address the urgent need to assess for preeclampsia.
D: Encouraging fluid intake and avoiding strenuous activity may be helpful in general, but they do not address the potential seriousness of preeclampsia in this

A patient in labor begins to experience significant vaginal bleeding. What is the first step the nurse should take?

  • A. Administer oxygen to the patient
  • B. Check for a cord prolapse
  • C. Perform a vaginal examination
  • D. Perform a vaginal examination
Correct Answer: B

Rationale: The correct answer is B: Check for a cord prolapse. This is the first step because cord prolapse is a critical emergency that can lead to fetal compromise. By checking for cord prolapse, the nurse can quickly assess the situation and take appropriate actions to relieve pressure on the cord. Administering oxygen (choice A) may be necessary later but not the first step. Performing a vaginal examination (choices C and D) can exacerbate the situation by pushing the cord further into the birth canal.

The nurse is counseling a pregnant patient who is concerned about gestational diabetes. The patient has a family history of diabetes and is overweight. Which statement by the nurse would be most appropriate?

  • A. Gestational diabetes usually resolves after delivery and will not affect your baby.
  • B. Gestational diabetes can cause excessive birth weight, which may lead to delivery complications.
  • C. You should avoid eating carbohydrates entirely to manage gestational diabetes.
  • D. Gestational diabetes has no impact on your risk for developing type 2 diabetes later in life.
Correct Answer: B

Rationale: The correct answer is B because gestational diabetes can indeed cause excessive birth weight, leading to delivery complications such as shoulder dystocia and cesarean section. This is important for the patient to be aware of to ensure the health and safety of both herself and her baby.

Choice A is incorrect because gestational diabetes can persist after delivery and may increase the risk of developing type 2 diabetes later in life for both the mother and the baby.

Choice C is incorrect because pregnant women with gestational diabetes still need carbohydrates for proper nutrition; however, they should monitor their carbohydrate intake and choose complex carbohydrates to manage blood sugar levels.

Choice D is incorrect because having gestational diabetes does increase the risk of developing type 2 diabetes later in life. It is important for the patient to understand this potential risk and take steps to manage their health accordingly.

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