Monitoring Baby During Labour

Monitoring Baby During Labour Related

Review Monitoring Baby During Labour related questions and content

The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?

  • A. Uses of extracorporeal membrane oxygenation therapy (ECMO)
  • B. Uses of exogenous pulmonary surfactant
  • C. The Baby-Friendly Hospital Initiative
  • D. The Safe to Sleep campaign
Correct Answer: D

Rationale: The correct answer is D: The Safe to Sleep campaign. The campaign educates parents on safe sleep practices to reduce the risk of SIDS. In this scenario, the patient's concerns regarding infant mortality and SIDS can be addressed by providing information on safe sleep practices. Choices A and B are not relevant to the patient's concerns as they pertain to advanced medical therapies. Choice C, Baby-Friendly Hospital Initiative, focuses on promoting breastfeeding support and practices, which is not directly related to addressing the patient's concerns about infant mortality and SIDS.

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A patient at 36 weeks gestation is undergoing a nonstress test (NST). The nurse observes the fetal heart rate baseline at 135 bpm and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for 20-25 seconds each. How will the nurse record these findings?

  • A. NST positive, nonreassuring
  • B. NST negative, reassuring
  • C. NST reactive, reassuring
  • D. NST nonreactive, nonreassuring
Correct Answer: C

Rationale: An NST is reactive and reassuring when two or more accelerations occur within 20 minutes, indicating fetal well-being.

A nurse is caring for a laboring person in the second stage of labor. What is the most appropriate intervention when the perineum starts to bulge?

  • A. apply warm compresses to the perineum
  • B. apply gentle pressure to the perineum
  • C. prepare the person for episiotomy
  • D. perform perineal massage
Correct Answer: B

Rationale: The correct answer is B: apply gentle pressure to the perineum. This intervention helps to support the perineum and reduce the risk of perineal tearing during childbirth. Applying gentle pressure can slow down the baby's descent and allow the perineum to stretch gradually, reducing the likelihood of severe tearing. This intervention is important to promote a safe and controlled delivery.

Incorrect answer explanations:
A: Applying warm compresses may provide some comfort but does not specifically address the need to support the perineum during childbirth.
C: Episiotomy should be considered only when necessary and not as a routine intervention when the perineum bulges.
D: Perineal massage is typically done during the prenatal period to help prepare the perineum for childbirth but is not the most appropriate intervention when the perineum starts to bulge during labor.

The midwife has just palpated the fundal height at the location noted on the picture below. It is likely that the client is how many weeks pregnant?

  • A. 12
  • B. 20
  • C. 28
  • D. 36
Correct Answer: B

Rationale: At 20 weeks, the fundal height is typically at the level of the umbilicus, which is consistent with the description provided.

The nurse is educating a pregnant patient about the symptoms of preterm labor. Which of the following symptoms should the nurse advise the patient to report immediately?

  • A. Occasional low back pain and cramping
  • B. Increased vaginal discharge
  • C. Painful, regular contractions every 10 minutes or less
  • D. Feeling of pelvic pressure after physical activity
Correct Answer: C

Rationale: Step-by-step rationale:
1. Painful, regular contractions every 10 minutes or less can indicate preterm labor.
2. Regular contractions are a sign of the uterus preparing for birth.
3. Painful contractions at regular intervals can progress quickly to preterm delivery.
4. Reporting this symptom immediately allows for timely intervention to prevent premature birth.

Summary:
A: Low back pain and cramping are common in pregnancy but not necessarily indicative of preterm labor.
B: Increased vaginal discharge may be normal in pregnancy and not a direct sign of preterm labor.
C: Painful, regular contractions every 10 minutes or less are a critical sign of preterm labor.
D: Feeling pelvic pressure after physical activity is common in late pregnancy and not specific to preterm labor.

A couple just learned they are expecting their first child and are curious if they are having a boy or a girl. At what point of development can the couple first expect to see the sex of their child on ultrasound?

  • A. 4 weeks’ gestational age
  • B. 6 weeks’ gestational age
  • C. 10 weeks’ gestational age
  • D. 16 weeks’ gestational age
Correct Answer: C

Rationale: The fetal period begins at the ninth week, and by the tenth week the external genitalia are visible to ultrasound examination.

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