What is the recommended position for a laboring mother with variable decelerations?

Correct Answer: D

Rationale: Side-lying reduces pressure on the umbilical cord, improving fetal oxygenation.

Correct Answer: D

Rationale: The CDC recommends that women who are not up-to-date with the MMR (measles, mumps, rubella) vaccine should receive it immediately postpartum. Rubella, also known as German measles, is particularly important during pregnancy because contracting rubella during pregnancy can lead to serious complications in the baby, such as birth defects and miscarriage. By ensuring the client receives the MMR vaccine postpartum, it helps protect both the mother and any future pregnancies from the risk of rubella infection.

Correct Answer: A

Rationale: Monitoring maternal blood pressure is essential to detect and manage hypotension, a common side effect of epidurals.

Correct Answer: A

Rationale: The second stage of pathophysiology in an amniotic fluid embolism characterized by deep vein thrombosis on anticoagulant therapy after giving birth involves the risk of hemorrhage. Anticoagulant therapies such as heparin increase the risk of bleeding since they inhibit the blood's ability to clot effectively. This means that in the event of an injury or surgery, there is a higher likelihood of excessive bleeding. Therefore, it is crucial to monitor for signs of hemorrhage such as bruising, bleeding gums, blood in urine or stool, and low blood pressure. Intervention to manage bleeding may include reducing the dosage of the anticoagulant, administering blood products, and implementing pressure or surgical interventions as necessary.

Correct Answer: B

Rationale: The MSAFP test is used to screen for neural tube defects such as spina bifida.