During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Tachycardia.

Hypoxia

Bradycardia.

A normal baseline heart rate

Answer and Explanation

The Correct Answer is D

The baseline fetal heart rate is the average heart rate over a 10-minute period, excluding accelerations and decelerations, and is an important indicator of fetal well-being during labor.

A baseline fetal heart rate of 110-160 beats/min is considered normal. A baseline heart rate of less than 110 beats/min is considered bradycardia, which can be a sign of fetal distress or hypoxia. A baseline heart rate greater than 160 beats/min is considered tachycardia, which can also be a sign of fetal distress or hypoxia.

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Correct Answer is B

Explanation

In some cases, an endocrinologist may also be involved in the management of gestational diabetes. The nurse can anticipate that the client will be diagnosed with gestational diabetes and will be referred to a dietician for dietary modifications and glucose monitoring during the remainder of her pregnancy. Regular prenatal care will also continue, and the healthcare provider may adjust the treatment plan based on the client's individual needs.

However, a diagnosis of Type II diabetes would not be made solely based on a failed GTT during pregnancy, as gestational diabetes is a temporary condition that usually resolves after delivery.

A. I need to start an American Diabetic Association (ADA) diet“ B. l am at higher risk for a cesarean section delivery C. I am worried about getting diabetes later in life! D. "My baby is more at risk for cardiac defects”

Correct Answer is D

Explanation

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

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During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will:

Correct Answer is B

Explanation

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Correct Answer is D

Explanation

The nurse is caring for a 30-week gestation client who was loaded on a magnesium sulfate infusion one hour ago for preterm labor. Which of the following assessment findings would warrant the infusion to be discontinued immediately?

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In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate?

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