If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

A shallow deceleration occurring with the beginning of contractions.

Fetal heart rate declining late with contractions and remaining depressed.

Fetal baseline rate increasing at least 5 mm Hg with contractions.

Variable decelerations, too unpredictable to count.

Answer and Explanation

The Correct Answer is B

hoice A rationale:

This is incorrect. A shallow deceleration at the beginning of contractions is not indicative of uteroplacental insufficiency.

Choice B rationale:

This is correct. Late decelerations of the fetal heart rate during contractions can indicate uteroplacental insufficiency.

Choice C rationale:

This is incorrect. An increase in baseline heart rate with contractions is not a typical sign of uteroplacental insufficiency.

Choice D rationale:

This is incorrect. Variable decelerations are typically associated with cord compression, not uteroplacental insufficiency.

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Correct Answer is C

Explanation

Choice A rationale:

Cephalic refers to the presentation of the fetus, not the lie. The lie refers to the orientation of the fetus in relation to the mother’s spine.

Choice B rationale:

Flexion refers to the attitude or posture of the fetus, not the lie.

Choice C rationale:

Longitudinal is the term used to describe the fetal lie when the fetus is aligned with the mother’s spine, either head down (cephalic) or buttocks down (breech).

Choice D rationale:

Extension refers to the attitude or posture of the fetus, not the lie.

A. Excessive weight gain. B. Longer gestational periods. C. Low-birthweight infants. D. Higher pain tolerance.

Correct Answer is C

Explanation

Choice A rationale:

Substance use during pregnancy does not typically result in excessive weight gain. In fact, it can often lead to inadequate weight gain due to poor nutrition.

Choice B rationale:

Substance use during pregnancy does not typically result in longer gestational periods. It can, however, lead to preterm labor and birth.

Choice C rationale:

Substance use during pregnancy can indeed lead to low-birthweight infants. This is due to a variety of factors, including poor nutrition and premature birth.

Choice D rationale:

Substance use during pregnancy does not typically result in a higher pain tolerance. In fact, it can lead to increased sensitivity to pain.

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If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

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Naxlex Comprehensive Predictor Exams

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