Nokea
Which assessment findings suggest probable fetal distress?
- A. Fetal heart rate (FHR) of 120
- B. Meconium-stained amniotic fluid
- C. Decreased FHR during contractions
- D. Strong contractions 10 seconds apart
- E. Slow return of FHR to baseline
Correct Answer: B,E
Rationale: Meconium-stained amniotic fluid and the slow return of the FHR to the baseline are indicative of fetal distress. All other options are normal.
You may also like to solve these questions
How do Braxton-Hicks contractions differ from labor contractions?
- A. Last several minutes.
- B. Are always regular.
- C. Do not dilate the cervix.
- D. Are only mild.
Correct Answer: C
Rationale: Braxton-Hicks contractions do not dilate the cervix. Braxton-Hicks contractions remain irregular, can range from mild to moderate in severity, and increase in duration as the pregnancy progresses.
A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ___ lie.
Correct Answer: longitudinal
Rationale: A longitudinal lie is when the fetal spine and the maternal spine are parallel to each other.
A primigravida patient is admitted to the labor and delivery unit. During initial assessment the baby is found to be engaged. Which statement is true?
- A. The narrowest diameter of the presenting part has reached the pelvic outlet.
- B. The descending part is being initiated through the midpelvis.
- C. The widest diameter of the presenting part crosses the pelvic inlet.
- D. The narrowest diameter of the presenting part is at the ischial spines.
Correct Answer: C
Rationale: Engagement occurs when the biparietal diameter, which is the widest part of the fetal head, crosses the pelvic inlet.
A mother has entered the second stage of labor. When does the second stage of labor end?
- A. When the mother begins to push
- B. When the baby's head crowns
- C. With delivery of the baby
- D. With delivery of the placenta
Correct Answer: C
Rationale: The second stage of labor begins with complete dilation and ends with the birth of the baby.
A pregnant woman is discussing her desire to have her baby in a birthing center. Which factors could exclude the patient from delivering in a birthing center?
- A. The patient is a primigravida.
- B. The patient will be having a planned cesarean delivery.
- C. The mother has preeclampsia.
- D. The baby is a boy.
- E. The mother has no support system.
Correct Answer: B,C
Rationale: Birthing centers are ideal only for women who are considered low risk. Cesarean deliveries would not be done in a birthing center. The mother with preeclampsia would be considered high risk and would probably be excluded from delivering in the birthing center. The number of previous pregnancies, sex of the baby, and mother's support system would not be factors considered when determining risk for delivering in a birthing center.