Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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The nurse is performing Leopold's maneuvers on a pregnant patient at 36 weeks of gestation and determines the fetal lie is longitudinal, palpates the fetal legs in the top of the uterus, and palpates the fetal head above the symphysis pubis. Which fetal presentation does the nurse document in the EHR?

  • A. cephalic
  • B. compound
  • C. transverse
  • D. breech
Correct Answer: D

Rationale: The correct answer is D: breech. At 36 weeks of gestation, if the nurse palpates the fetal head above the symphysis pubis and the fetal legs are at the top of the uterus, it indicates a breech presentation where the baby's buttocks or feet are positioned to be delivered first. In a breech presentation, the fetal head is not engaged in the pelvis and is palpable above the symphysis pubis. The longitudinal lie with the fetal legs on top further supports the breech presentation.

Summary:
A: Cephalic presentation would have the fetal head engaged in the pelvis.
B: Compound presentation involves an additional body part alongside the presenting part.
C: Transverse lie would have the baby positioned horizontally across the uterus.
D: Breech presentation aligns with the given scenario of palpating fetal legs on top and head above the symphysis pubis.

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A 39-week-gestation client is admitted to the labor and delivery unit for a scheduled cesarean delivery. The nurse should inform the surgeon regarding which of the following admission laboratory findings?

  • A. Potassium 4.9 mEq/L.
  • B. Sodium 136 mEq/L.
  • C. Platelet count 75,000 cells/mm3.
  • D. White blood cell count 15,000 cells/mm3.
Correct Answer: C

Rationale: A platelet count of 75,000 cells/mm3 is low and could increase the risk of bleeding during surgery. The surgeon should be informed to take appropriate precautions.

A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is

  • A. using increased environmental stimulation as a method of distraction.
  • B. restricting family and friends from visiting during the labor period to keep the patient focused on breathing techniques.
  • C. medicating the patient frequently to reduce pain perception.
  • D. assisting the patient in breathing methods aimed at taking control of pain perception based on the contraction pattern.
Correct Answer: D

Rationale: Step-by-step rationale for why answer D is correct:
1. Breathing techniques help in managing pain perception during labor.
2. By assisting the patient in breathing methods, she gains control over her pain perception.
3. Controlled breathing can help distract from the intensity of contractions.
4. By focusing on breathing patterns, the patient can stay calm and manage pain effectively.
Summary:
A, B, and C are incorrect because they do not address pain management directly through breathing techniques. Option A relies on distraction, B focuses on isolation rather than coping mechanisms, and C suggests heavy reliance on medication rather than self-control.

The nurse reports a nonreactive NST to the physician. The physician orders vibroacoustic stimulation. Which does the nurse understand the appropriate application for the vibroacoustic stimulation to be? Select all that apply.

  • A. Clap loudly by the fetal head
  • B. Apply a sterile drape to abdomen prior to stimulation
  • C. Apply the artificial larynx stimulus by the fetal head
  • D. Limit the use of the artificial larynx stimulus to three times
Correct Answer: C

Rationale: The correct answer is C: Apply the artificial larynx stimulus by the fetal head. Vibroacoustic stimulation involves using sound waves to stimulate the fetus and provoke a response, particularly in cases of nonreactive nonstress test (NST). By applying the artificial larynx stimulus near the fetal head, the nurse ensures direct and effective stimulation of the fetus. This method has been found to be safe and effective in improving fetal heart rate reactivity.

Incorrect Choices:
A: Clap loudly by the fetal head - This is not an appropriate method for vibroacoustic stimulation as it may not provide the controlled and targeted stimulation needed.
B: Apply a sterile drape to abdomen prior to stimulation - This is not necessary for vibroacoustic stimulation and does not contribute to its effectiveness.
D: Limit the use of the artificial larynx stimulus to three times - There is no specific limit to the number of times vibroacoustic stimulation can be applied, as it depends on the

When caring for a woman whom a nurse suspects is being abused by her partner, the nurse should do which of the following?

  • A. Ask the client directly about how she sustained her injuries.
  • B. Counsel the client on how her behavior probably provoked the attack.
  • C. Inform the client that the police must arrest her partner.
  • D. Give the client a pamphlet with the names of matrimonial attorneys.
Correct Answer: A

Rationale: Directly asking about injuries helps assess the situation and provide appropriate support and resources.

Which aspect of fetal diagnostic testing is most important to expectant parents?

  • A. Safety of the fetus
  • B. Duration of the test
  • C. Cost of the procedure
  • D. Physical discomfort caused by the procedure
Correct Answer: A

Rationale: The correct answer is A: Safety of the fetus. Expectant parents prioritize the safety of their unborn child above all else. Ensuring that the fetal diagnostic testing is safe for the fetus is crucial in making informed decisions about the pregnancy. Other choices are less important as safety directly impacts the well-being of the fetus, while the duration, cost, and physical discomfort are secondary considerations in comparison.

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