A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy. Which of the following findings indicates that the fetus is at risk?
Recurrent variable deceleration of the FHR
Uterine contractions every 6 min
Uterine contractions lasting 30 to 45 seconds
Moderate variability of the FHR
The Correct Answer is A
A. Recurrent variable decelerations of the fetal heart rate (FHR) are concerning and can indicate fetal distress.
B. Uterine contractions every 6 minutes may not provide effective progress in labor, but it is not indicative of fetal distress.
C. Uterine contractions lasting 30 to 45 seconds are within the normal range for labor.
D. Moderate variability of the FHR is a reassuring sign and indicates that the fetus is tolerating labor well.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Gingivitis is common during pregnancy and should be addressed but is not as urgent as dysuria.
B. Varicose veins, while uncomfortable, are not an immediate priority.
C. Dysuria (painful or difficult urination) can be a sign of a urinary tract infection, which is a concern during pregnancy. Prompt reporting and treatment are essential to prevent
complications.
D. Leukorrhea (an increase in vaginal discharge) is common in pregnancy and is not a cause for immediate concern.
Correct Answer is C
Explanation
A: This infection does not directly cause hearing loss at birth. Hearing loss in newborns can be associated with genetic factors, birth complications, and certain infections, but GBS is not known to be a direct cause of hearing impairment.
B: A positive GBS test result does not necessitate a cesarean birth. The standard management for GBS-positive mothers is the administration of intrapartum antibiotic prophylaxis, not cesarean delivery, unless there are other obstetric indications.
C: Testing for GBS is typically done between 36 and 37 weeks of gestation because this timing is close to delivery, when the test results are most predictive of the baby's risk of exposure during birth.
D: Antibiotics are not given during the last 2 weeks of pregnancy to prevent GBS transmission. Instead, they are administered during labor to ensure effective levels of the drug during delivery, which is the critical period for preventing transmission to the baby.
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