A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min.

The nurse should recognize that this finding indicates which of the following?

Fetal hypoxia

Fetal head compression

Fetal sleep cycle

Fetal movement.

Answer and Explanation

The Correct Answer is A

A prolonged deceleration of the fetal heart rate to 90/min indicates acute fetal hypoxia/acidosis, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. Fetal pH drops at a rate of 0.01/min during the deceleration. Causes of acute hypoxia include low maternal blood pressure, dehydration, anemia, rapid uterine contractions, placental abruption, and fetal hypoxia.

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Correct Answer is B

Explanation

The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis).Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.

Therefore, notifying the provider is the priority action.

A. Sudden onset of severe abdominal pain B. Loss of uterine contractions or tone C. Vaginal bleeding (may be minimal) D. Shock (hypotension, tachycardia, pallor) E. Fetal distress (bradycardia, decelerations).

Correct Answer is ["A","B","C","D"]

Explanation

A ruptured uterus is a serious complication that can cause severe bleeding, fetal distress and shock in the mother.

The symptoms of a ruptured uterus may include:

• Sudden onset of severe abdominal paindue to the tear in the uterine wall.

• Loss of uterine contractions or tonedue to the disruption of the uterine muscle.

• Vaginal bleeding (may be minimal)due to the blood loss from the uterine vessels.

• Shock (hypotension, tachycardia, pallor)due to the hemorrhage and reduced blood flow to vital organs.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for fetal heart rate are 110 to 160 beats per minute.

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A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min. The nurse should recognize that this finding indicates which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is assessing a client who has a ruptured uterus. Which of the following findings should the nurse expect? (Select all that apply.).

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who has a ruptured uterus. Which of the following findings would the nurse expect to see on the EFM?

A nurse is assisting with an artificial rupture of membranes (AROM) for a client who is in active labor. The nurse should report which of the following findings to the provider immediately?

A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision. The nurse should be aware that this client has an increased risk for which of the following adverse effects?

A nurse is preparing to assist with an emergency cesarean delivery for a client who has obstructed labor and excessive vaginal bleeding. The nurse should anticipate administering which of the following medications to prevent hemorrhage?

A nurse is caring for a client who is in the active phase of labor and has a slow cervical dilation. The nurse should monitor the client for which of the following complications?

A nurse is caring for a client who has a history of previous cesarean delivery with a low transverse incision. The client is in labor and wants to have a vaginal birth after cesarean (VBAC). The nurse should monitor the client closely for signs of which complication?

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min. The nurse should recognize that this finding indicates which of the following?

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min.

The nurse should recognize that this finding indicates which of the following?