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 A

Explanation

In the case of a prolapsed umbilical cord, the first priority intervention is to relieve pressure on the cord. Placing the woman in the knee-chest position or Trendelenburg position with the hips elevated is the best way to achieve this. This position helps to reduce the compression of the cord and improve fetal oxygenation.
Option B is incorrect because while oxygen may be necessary, relieving pressure on the cord is the priority.
Option C is incorrect because a vaginal birth should not proceed with a prolapsed umbilical cord, as it can cause cord compression and fetal distress.
Option D is incorrect because covering the cord in sterile gauze soaked in saline is not a priority intervention and may not be effective in relieving pressure on the cord.

A. Hypoinsulinemia B. Hyperbilirubinemia C. Hypoglycemia D. Hypercalcemia

Correct Answer is C

Explanation

Infants of diabetic mothers (IDM) are at risk of hypoglycemia because they have been exposed to high levels of glucose in utero. The fetus responds to this high glucose level by producing high levels of insulin to regulate the glucose level. After delivery, the glucose supply from the mother is cut off and the infant's insulin levels remain high, leading to hypoglycemia.

Additionally, the infant's ability to produce glucose is immature and may not be sufficient to maintain normal blood glucose levels, especially if the infant is premature or small for gestational age. Therefore, IDM requires close monitoring of their blood glucose levels to prevent and treat hypoglycemia.

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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 pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?

Correct Answer is A

Explanation

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Correct Answer is C

Explanation

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