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
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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Requesting to sit in a chair is a normal activity and doesn't indicate a concern.
B. Consuming food from the meal tray is a normal activity and does not require reporting.
C. Requesting assistance to use the bedside commode is a normal activity and does not require reporting unless there is a change in condition.
D. Failing to receive prescribed compression stockings is an important issue because it can increase the risk of deep vein thrombosis (DVT), and it needs to be reported.
Correct Answer is A
Explanation
A. Confusion is a key symptom of hypoglycemia due to the brain's lack of glucose.
B. Acetone breath is associated with diabetic ketoacidosis (DKA), a hyperglycemic state.
C. Polydipsia (increased thirst) is a sign of hyperglycemia, not hypoglycemia.
D. Hot, dry skin is a sign of hyperglycemia or dehydration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
