Maternal Monitoring During Labor ppt

Maternal Monitoring During Labor ppt Related

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What is the most appropriate action when a laboring person's membranes rupture and meconium is present?

  • A. notify the healthcare provider
  • B. document the amount of meconium
  • C. prepare the person for vacuum extraction
  • D. apply pressure to the abdomen
Correct Answer: A

Rationale: The correct answer is A: notify the healthcare provider. This is the most appropriate action because the presence of meconium in the amniotic fluid indicates potential fetal distress, requiring immediate medical evaluation. Notifying the healthcare provider allows for prompt assessment and necessary interventions to ensure the well-being of both the laboring person and the baby. Documenting the amount of meconium (choice B) may be important for the medical record but is not the priority in this situation. Choices C and D, preparing for vacuum extraction and applying pressure to the abdomen, are not indicated and could potentially harm the baby or the laboring person.

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The partner of a gravida accompanies her to her prenatal appointment. The nurse notes that the father of the baby has gained weight since she last saw him. Which of the following comments is most appropriate for the nurse to make to the father?

  • A. I see that you are gaining weight right along with your partner.
  • B. You and your partner will be able to go on a diet together after the baby is born.
  • C. I can see that you are a bad influence on your partner’s eating habits.
  • D. I am so glad to see that you are taking so much interest in your partner’s pregnancy.
Correct Answer: D

Rationale: This comment acknowledges the father's involvement positively without judgment. Commenting on weight gain or suggesting future diets could come across as insensitive or inappropriate.

A pregnant patient at 30 weeks gestation reports swelling in her legs and feet. Which of the following interventions should the nurse recommend?

  • A. Increase fluid intake to reduce swelling.
  • B. Lie down flat on your back to relieve swelling.
  • C. Elevate the legs while sitting or lying down.
  • D. Limit physical activity and avoid walking.
Correct Answer: C

Rationale: The correct answer is C: Elevate the legs while sitting or lying down. This intervention helps reduce swelling by promoting venous return and reducing fluid accumulation in the lower extremities. Elevating the legs helps gravity assist in returning blood back to the heart, reducing edema. Increasing fluid intake (A) may worsen swelling. Lying flat on the back (B) can restrict blood flow and worsen swelling. Limiting physical activity (D) can lead to decreased circulation and exacerbate swelling.

Which food is the best source of iron?

  • A. Raisins
  • B. Hamburger
  • C. Broccoli
  • D. Molasses
Correct Answer: B

Rationale: Hamburger is rich in heme iron, which is more easily absorbed by the body compared to non-heme sources like raisins or molasses.

The glucose challenge screening test is performed at or after 24 weeks’ gestation to assess for the maternal physiological response to which of the following pregnancy hormones?

  • A. Estrogen.
  • B. Progesterone.
  • C. Human placental lactogen.
  • D. Human chorionic gonadotropin.
Correct Answer: C

Rationale: Human placental lactogen (hPL) is the hormone that affects glucose metabolism during pregnancy, making it the focus of the glucose challenge test.

After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can’t eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?

  • A. The woman is allergic to strawberries.
  • B. Strawberries have been shown to cause birth defects.
  • C. The woman believes in old wives’ tales.
  • D. The premature baby died because the woman ate strawberries.
Correct Answer: A

Rationale: Food allergies are a plausible reason for avoiding strawberries. There is no scientific evidence linking strawberries to birth defects or premature death. Old wives’ tales might exist but are less likely the primary reason here.

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