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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The most common indication for a vacuum-assisted delivery is a prolonged second stage of labor, which means that the mother has been pushing for an extended period without effective descent of the fetal head. The vacuum can help to provide traction to the fetal head and assist with delivery.
Option A is incorrect because a vacuum-assisted delivery is not indicated for the prevention of fetal abnormalities.
Option B is incorrect because a vacuum-assisted delivery is not indicated for the prevention of maternal hemorrhage.
Option D is incorrect because a prolonged first stage of labor is not an indication of
vacuum-assisted delivery. In this case, other interventions, such as augmentation of labor with oxytocin, may be used.
Correct Answer is A
Explanation
Assessing fetal heart rate (FHR) and maternal vital signs would be the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy. This is because fetal distress or maternal instability may require immediate medical intervention, such as delivery via emergency cesarean section or blood transfusions, respectively.
Therefore, assessing the FHR and maternal vital signs will help to determine the urgency of the situation and guide the next steps in the management of the patient. Once the patient's condition has stabilized, performing venipuncture for hemoglobin and hematocrit levels, monitoring uterine contractions, and placing clean disposable pads to collect any drainage can be done as appropriate.
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