Fetal well-being during labor is assessed by:

accelerations in the FHR.

maternal pain control

the response of the fetal heart rate (FHR) to uterine contractions (UCs).

an FHR above 110 beats/min.

Answer and Explanation

The Correct Answer is C

Fetal well-being during labor is assessed by the response of the fetal heart rate (FHR) to uterine contractions (UCs). During labor, the fetal heart rate is monitored to assess the well-being of the fetus. The fetal heart rate should increase in response to fetal movement and contractions, which indicates that the fetus is receiving adequate oxygenation and blood flow. This response is called an "acceleration" in the FHR. However, accelerations alone are not enough to assess fetal well-being during labor. It is the combination of the FHR pattern with the uterine contractions pattern that provides the most information.

In addition to the FHR response to UCs, other factors that may be used to assess fetal well-being during labor include fetal scalp blood sampling, fetal pulse oximetry, and fetal ultrasound. Maternal pain control may help to decrease maternal stress and anxiety during labor, but it is not directly related to fetal well-being. An FHR above 110 beats/min is within the normal range for a fetal baseline heart rate, but it is not enough to assess fetal well-being during labor.

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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.

A. At the maternal umbilicus. B. Over the symphysis pubis. C. Lower left quadrant of the abdomen. D. At the fundus of the uterus.

Correct Answer is B

Explanation

Suprapubic pressure aids in the delivery of the fetal shoulders, and delivery of the fetal head. to control postpartum hemorrhage and to assess uterine tone after delivery.

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Fetal well-being during labor is assessed by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied:

Correct Answer is B

Explanation

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

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

Which of the following complications is not associated with cesarean births?

Excessive blood loss after childbirth can have several causes; the most common is:

The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

The nurse is caring for a patient who has just been diagnosed with an ectopic pregnancy. Which of the following can the nurse anticipate as a part of the treatment plan for an ectopic pregnancy?

Which of the following needs to be considered when using the Health Belief Model (HBM)?

A public health nurse in a large city is planning and developing strategies to disseminate information to residents about infant safe sleep practices. Which of the following best exhibits the nurse's understanding of effective health communication in the community?