Maternal Monitoring During Labor ppt

Maternal Monitoring During Labor ppt Related

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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: Step 1: The Safe to Sleep campaign aims to educate parents on safe sleep practices to reduce the risk of SIDS.
Step 2: Given the patient's concerns about infant mortality and SIDS, providing education on safe sleep practices is pertinent.
Step 3: The patient had an uncomplicated pregnancy and delivery, so other interventions like ECMO or surfactant are not relevant.
Step 4: The Baby-Friendly Hospital Initiative focuses on promoting breastfeeding, which is not directly related to reducing the risk of SIDS.
Step 5: Therefore, explaining the Safe to Sleep campaign to the patient is the most helpful in addressing her concerns and promoting infant safety.

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The nurse is caring for a pregnant patient who is experiencing leg swelling. Which of the following actions should the nurse encourage to reduce the swelling?

  • A. Limit physical activity and avoid standing for long periods.
  • B. Increase sodium intake to help retain water and reduce swelling.
  • C. Wear tight compression stockings to improve circulation.
  • D. Elevate the legs and avoid crossing them while sitting.
Correct Answer: D

Rationale: The correct answer is D. Elevating the legs and avoiding crossing them while sitting helps reduce swelling by promoting venous return and improving circulation. Elevating the legs above the heart level assists in reducing edema. Choices A and C are incorrect as limiting physical activity and wearing tight compression stockings may not effectively address the underlying issue of poor circulation. Choice B is also incorrect as increasing sodium intake can lead to fluid retention and worsen swelling.

Which fetal structures are well-formed by the end of the first trimester? Select all that apply.

  • A. Genitals
  • B. Heart
  • C. Fingers
  • D. Kidneys
Correct Answer: D

Rationale: By the end of the first trimester, genitals, heart, fingers, and kidneys are well-formed, but alveoli develop later in gestation.

The nurse is assessing a pregnant patient who is at 32 weeks gestation and is concerned about leg cramps. Which intervention should the nurse recommend?

  • A. Apply a heating pad to the legs to relieve cramps.
  • B. Perform gentle stretching exercises to reduce muscle tension.
  • C. Increase calcium intake to prevent muscle cramps.
  • D. Lie down and elevate the legs to prevent cramps.
Correct Answer: B

Rationale: The correct answer is B: Perform gentle stretching exercises to reduce muscle tension. Leg cramps during pregnancy are common due to increased weight and pressure on muscles. Gentle stretching exercises can help relieve tension and improve circulation, reducing the likelihood of cramps. Applying heat (choice A) can worsen swelling in pregnancy. Increasing calcium intake (choice C) can help prevent cramps but is not an immediate intervention. Lying down and elevating legs (choice D) can provide temporary relief but may not address the underlying muscle tension.

Can the baby's sex be determined at 8 weeks' gestation?

  • A. Doctor knows the sex
  • B. Organs are formed but too small
  • C. Technician sees a penis
  • D. It will take another month
Correct Answer: D

Rationale: At 8 weeks, organs are developing but too small to determine sex; this usually occurs around 18–20 weeks.

What is the primary purpose of using a fetal monitor during labor?

  • A. to assess fetal heart rate variability
  • B. to monitor for fetal distress
  • C. to monitor maternal vital signs
  • D. to assess the mother's emotional state
Correct Answer: C

Rationale: The correct answer is C: to monitor maternal vital signs. During labor, monitoring maternal vital signs such as blood pressure, heart rate, and oxygen saturation is crucial to ensure the well-being of both the mother and the baby. Changes in these vital signs can indicate potential complications that may require immediate intervention. Fetal heart rate variability (A) is important but not the primary purpose of using a fetal monitor. Monitoring for fetal distress (B) is indeed important, but the primary purpose is to ensure the mother's health. Assessing the mother's emotional state (D) is not the primary reason for using a fetal monitor during labor.

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