A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?

Moderate variability in the FHR

Prolonged decelerations

Baseline FHR 115/min

Three uterine contractions within 10 min

Answer and Explanation

The Correct Answer is B

A. Moderate variability in the FHR: Incorrect. Moderate variability (6-25 bpm) is a reassuring sign of fetal well-being.

B. Prolonged decelerations: Prolonged decelerations, defined as a decrease in fetal heart rate (FHR) of at least 15 beats per minute lasting 2 to 10 minutes, indicate potential fetal hypoxia or distress and require immediate notification of the provider.

C. Baseline FHR 115/min: Incorrect. A baseline FHR of 115/min is within the normal range of 110-160 bpm.

D. Three uterine contractions within 10 min: Incorrect. This contraction pattern is within the normal range for active labor (normal is 2-5 contractions in 10 minutes).

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Correct Answer is C

Explanation

A. Milkshake made with whole milk is high in saturated fats and sugar, making it less healthy.

B. Cheesecake is a high-calorie, high-fat dessert and not a healthy snack option.

C. Air-popped popcorn is a whole grain, low-calorie, and fiber-rich snack, making it a healthy choice.

D. Baked potato chips are a better option than fried chips but still contain added salt and fat.

A. Encourage the client to avoid wearing shoes at home. B. Place a throw rug over electrical cords. C. Ensure that area rugs have rubber backs. D. Mark the edges of the doorway to the house with tape.

Correct Answer is C

Explanation

A. Wearing well-fitted shoes at home helps prevent slips and falls.

B. Placing throw rugs over electrical cords increases the risk of tripping.

C. Area rugs with rubber backs prevent slipping, reducing the risk of falls in a postoperative client.

D. Marking doorways with tape is not necessary for a client after knee replacement and may be more applicable for clients with visual impairments.

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A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?

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