On every prenatal visit, listen to fetal heart tones and evaluate uterine size. When can these factors first be noticed? What constitutes a size/date discrepancy?

Fetal heart tones can be heard with Doppler ultrasound at 10 to 12 weeks and with a normal stethoscope at 16 to 20 weeks. At 12 weeks of gestation, the uterus enters the abdomen and is palpable at the symphysis pubis; at roughly 20 weeks, it reaches the umbilicus. Uterine size is evaluated by measuring the distance from the symphysis pubis to the top of the fundus in centimeters. At roughly 20 to 35 weeks, the measurement in centimeters should equal the number of weeks of gestation. A discrepancy greater than 2 to 3 cm is called a size/date discrepancy. Ultrasound should be done for further evaluation (e.g., intrauterine growth retardation, multiple gestations). More test answers on https://studyhippo.com/usmle-step-2-secrets-ob/

The physician decides to artificially rupture the membranes. Following this procedure, the nurse checks the fetal heart tones for which reason? 1. To determine fetal well-being 2. To assess for fetal bradycardia 3. To assess fetal position 4. To prepare for an imminent delivery

Answer: 2 RATIONALES: After a client has an amniotomy, the nurse should assure that the cord isn’t prolapsed and that the baby tolerated the procedure well. The most effective way to do this is to check the fetal heart rate. Fetal well-being is assessed via a nonstress test. Fetal position is determined by vaginal examination. Artificial rupture of membranes doesn’t indicate an imminent delivery. More test answers on https://studyhippo.com/ob-nclex-qs-intrapartum/

After performing Leopold maneuvers on a laboring client, a nurse determines that the fetus is in the right occiput posterior (ROP) position. Where should the Doppler ultrasound transducer be placed to best auscultate fetal heart tones? 1 Above the umbilicus in the midline 2 Above the umbilicus on the left side 3 Below the umbilicus on the right side 4 Below the umbilicus near the left groin

After performing Leopold maneuvers on a laboring client, a nurse determines that the fetus is in the right occiput posterior (ROP) position. Where should the Doppler ultrasound transducer be placed to best auscultate fetal heart tones? Incorrect1 Above the umbilicus in the midline 2 Above the umbilicus on the left side Correct3 Below the umbilicus on the right side 4 Below the umbilicus near the left groin More test answers on https://studyhippo.com/intrapartum/

A client comes to the prenatal clinic for her first visit. The nursing history reveals that the client’s last menstrual period was five months ago, and the client is sure she is pregnant because she has been feeling the baby move. Whcih of the following responses by the nurse is BEST? 1. “Since you have felt the fetal movement, I am sure that you are pregnant.” 2. “Lie down so that I can listen for fetal heart tones with the Doppler.” 3. “We’ll collect a urine specimen for testing to confirm that you are pregnant.” 4. “Have you noticed feeling more fatigued lately?”

“Lie down so that I can listen for fetal heart tones with the Doppler.” More test answers on https://studyhippo.com/kaplan-maternity-gynecology-abc/

The nurse is caring for a woman who has been admitted with early pregnancy-induced hypertension (PIH) that has progressed to eclampsia. The priority intervention by the nurse is to: a. Check the blood pressure and fetal heart tones. b. Maintain a patent airway. c. Administer oxygen. d. Prepare to administer magnesium sulfate.

b. patent airway The woman experiencing eclampsia is at great risk for seizures, and the highest priority of care is a patent airway. Checking blood pressure, fetal heart tones, and administering magnesium sulfate and oxygen are all components of care but are of lower priority than maintaining a patent airway. More test answers on https://studyhippo.com/pregnancy-induced-hypertension/

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What is Fetal Heart Tones?

Fetal heart tones are the sound of a baby’s heartbeat heard through an ultrasound. This is one of the most important aspects of prenatal care, as it can provide insight into the health and development of the baby. Fetal heart tones can indicate a variety of things such as fetal age, fetal size, and even potential congenital defects.Fetal heart tones are typically heard during an ultrasound between 8 and 12 weeks gestation. The heartbeat will be at its slowest around 8 weeks gestation, occurring around 120 beats per minute. As pregnancy progresses, the heartbeat will increase in frequency before slowing back down near full-term to a rate of around 140 beats per minute. Hearing a steady beat is usually a good indication that everything is progressing normally in terms of fetal development.If there are any abnormalities detected with regard to fetal heart tones then further testing may be recommended by your healthcare provider to ensure that all is well with your baby’s health. Abnormalities could include a slower than normal heartbeat or an irregular rhythm which could indicate potential complications such as congenital heart defects or other issues that require additional monitoring throughout pregnancy for assurance that everything is proceeding smoothly and safely for both mother and child. It is important to note that just because you hear something unusual with regard to your baby’s heartbeat does not necessarily mean that there is anything wrong; however, it never hurts to err on the side of caution when it comes to prenatal care so if you have any concerns at all then make sure you discuss them with your doctor or midwife right away so they can investigate further if need be. Overall, understanding what healthy fetal heart tones sound like through an ultrasound helps provide peace of mind during pregnancy and ensures mother and child remain safe throughout this special time in life.