A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?
"Count the fetal heart rate for 15 seconds to determine the baseline."
"Auscultate the fetal heart rate every 5 minutes during the active phase of the first stage of labor."
"Auscultate the fetal heart rate every 30 minutes during the second stage of labor."
"Count the fetal heart rate after a contraction to determine baseline changes."
The Correct Answer is D
A. "Count the fetal heart rate for 15 seconds to determine the baseline." The fetal heart rate (FHR) should be counted for a full minute to determine the baseline, not just for 15 seconds.
B. "Auscultate the fetal heart rate every 5 minutes during the active phase of the first stage of labor." The fetal heart rate is typically auscultated every 30 minutes in low-risk clients during the first stage of labor.
C. "Auscultate the fetal heart rate every 30 minutes during the second stage of labor." The fetal heart rate should be auscultated every 15 minutes during the second stage of labor, not every 30 minutes.
D. "Count the fetal heart rate after a contraction to determine baseline changes." It is important to assess the fetal heart rate after a contraction to determine if there are any decelerations or baseline changes that may indicate fetal distress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "The purpose of this medication is to boost fetal lung maturity." Betamethasone is a corticosteroid given to promote fetal lung maturity by stimulating surfactant production, especially in preterm labor.
B. "The purpose of this medication is to stop preterm labor contractions." Tocolytics, not corticosteroids, are used to stop preterm labor contractions. Betamethasone is not designed to halt contractions.
C. "The purpose of this medication is to halt cervical dilation." Betamethasone does not affect cervical dilation. Its role is to support fetal lung development.
D. "The purpose of this medication is to increase the fetal heart rate." Betamethasone does not directly influence fetal heart rate. Its primary use is to mature fetal lungs in anticipation of early birth.
Correct Answer is A
Explanation
A. Epidural Anesthesia. Epidural anesthesia involves injecting a local anesthetic into the epidural space, blocking pain signals from the lower body to the brain. It is commonly administered when the cervix is at least 4 cm dilated in active labor.
B. Local anesthesia. Local anesthesia numbs a specific, smaller area of the body and is typically used for procedures such as episiotomies or repairs, not for labor pain relief.
C. Pudendal block. A pudendal block is an injection that numbs the perineal area but does not block pain from contractions. It is used for pain relief during the second stage of labor or for episiotomies.
D. General anesthesia. General anesthesia affects the entire body and is rarely used in labor unless there is an emergency cesarean section when regional anesthesia is not possible.
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