Nokea
While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions. What is the nurse's initial action?
- A. Stop the oxytocin infusion.
- B. Increase the intravenous flow rate.
- C. Reposition the woman on her side.
- D. Start oxygen via nasal cannula.
Correct Answer: C
Rationale: Repositioning the woman is the first response to a pattern of variable decelerations. If the decelerations continue, then oxygen should be administered and/or the flow rate of oxygen should be increased.
You may also like to solve these questions
Why should the nurse encourage the mother to void during the fourth stage of labor?
- A. A full bladder could interfere with cervical dilation.
- B. A full bladder could obstruct progress of the infant through the birth canal.
- C. A full bladder could obstruct the passage of the placenta.
- D. A full bladder could predispose the mother to uterine hemorrhage.
Correct Answer: D
Rationale: A full bladder immediately after birth can cause excessive bleeding because it pushes the uterus upward and interferes with contractions.
The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?
- A. A well-oxygenated fetus
- B. Compression of the umbilical cord
- C. Compression of the fetal head
- D. Uteroplacental insufficiency
Correct Answer: A
Rationale: Accelerations in the fetal heart rate suggest that the fetus is well oxygenated.
It is determined that the presenting part of the fetus is the buttocks. At delivery the fetus's hips are flexed and the knees are extended. How would the nurse record this presentation?
- A. Complete breech
- B. Frank breech
- C. Double footing
- D. Buttocks presentation
Correct Answer: B
Rationale: When a fetus presents in a frank breech position, the legs are flexed at the hips and extend toward the shoulders.
The physician performs an amniotomy on a laboring woman. What will be the nurse's priority assessment immediately following this procedure?
- A. Fetal heart rate
- B. Fluid amount
- C. Maternal blood pressure
- D. Deep tendon reflexes
Correct Answer: A
Rationale: The FHR should be assessed for at least 1 full minute after the membranes rupture to detect potential umbilical cord compression.
What are the advantages of a freestanding birth center?
- A. Homelike setting
- B. Designed for high-risk pregnancies
- C. Lower costs
- D. Attended by certified obstetricians
- E. Immediate emergency access
Correct Answer: A,C
Rationale: Advantages of a freestanding birth center include a homelike setting and lower costs, as they do not require expensive departments like emergency or critical care.