N247 Exam 1 SG: Fetal Monitoring, Cycle, Genetics

During fetal monitoring, what condition is indicated by variable decelerations on the fetal heart rate strip?

Which of the following is the MOST accurate definition of baseline variability in fetal heart rate monitoring?

A laboring patient with a history of chronic hypertension is showing late decelerations. What should the nurse's FIRST action be?

Which contraction pattern indicates hyperstimulation of the uterus during labor?

According to current guidelines, which contraceptive method is MOST effective in preventing pregnancy?

In the context of contraception, what is the PRIMARY mechanism of action of combined hormonal contraceptives?

During which phase of the menstrual cycle does luteinizing hormone (LH) PRIMARILY influence?

Which hormone is PRIMARILY responsible for the maintenance of the uterine lining during pregnancy?

A patient with a family history of cystic fibrosis is seeking preconception genetic counseling. What type of genetic testing should be discussed?

Which of the following accurately describes the difference between genetic screening and genetic diagnostic testing?

A couple is known to be carriers for an autosomal recessive disorder. What is the probability that their child will inherit the disorder?

Which of the following conditions is an example of X-linked dominant inheritance?

During pregnancy, what is the PRIMARY risk associated with maternal listeriosis?

Which of the following nutrients is MOST critical for preventing neural tube defects in the developing fetus?

A pregnant patient at 10 weeks' gestation reports experiencing severe nausea and vomiting. What condition should be considered?

Using Naegele's rule, if the first day of a woman's last menstrual period (LMP) was November 21, what is her estimated due date?

Which of the following is considered a positive sign of pregnancy?

What is the PURPOSE of administering a Group B Streptococcus (GBS) test during prenatal care?

According to the Stroble article, how does the maternal microbiome impact pregnancy outcomes?

Which of the following physiological changes is MOST likely to cause shortness of breath in the third trimester?

What is the PRIMARY cause of morning sickness during the first trimester of pregnancy?

Which definition BEST describes a “spontaneous abortion”?

If a woman is pregnant, how would she be described using the GTPAL system if this is her second pregnancy, she had one previous full-term birth, and no abortions or preterm births?

What is the recommended follow-up schedule for a low-risk pregnant patient from weeks 28-36?

What action should a nurse prioritize to address the underlying cause of recurrent late decelerations observed on a fetal heart rate tracing?

Which factor would most significantly increase a pregnant woman's risk of developing gestational diabetes mellitus (GDM)?

What is the most critical nursing intervention to mitigate the risk of neonatal abstinence syndrome (NAS) in a newborn whose mother has a history of opioid dependence?

Which complication presents the greatest risk to the fetus in a pregnancy complicated by severe maternal thrombocytopenia?

What is the most important consideration when assessing the safety of administering oxytocin to augment labor in a multiparous woman?

What is the most appropriate long-term management strategy for women with a history of gestational hypertension who are planning future pregnancies?

What is the first-line pharmacologic treatment for treating postpartum hemorrhage?

Which immunizations are safe to give to a postpartum mother prior to discharge from the hospital?

What factor should the nurse consider to improve her patient’s success when initiating breastfeeding?

Consider the use of Non-Invasive Prenatal Testing (NIPT). In which scenario would NIPT be most clinically beneficial as a first-line screening tool over traditional maternal serum screening?

A pregnant woman is diagnosed with asymptomatic bacteriuria (ASB) during her first prenatal visit. What is the primary rationale for treating her ASB?

A woman at 39 weeks gestation presents to labor and delivery with rupture of membranes 24 hours ago. She is GBS positive, but has been declining antibiotics in labor. Current vital signs are stable, temperature is 99.9 degrees Fahrenheit. What is the priority intervention?

A new mother who is breastfeeding asks the nurse about the safety of taking a certain medication for a chronic condition. What is the most evidence-based resource for the nurse to consult regarding medication safety during breastfeeding?