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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While placental abruption is a serious condition, it is not directly linked to high HbA1c levels in early pregnancy.
Choice B rationale:
Congenital anomalies are a significant concern for pregnancies with high HbA1c levels, as high blood sugar around the time of conception increases the risk of birth defects.
Choice C rationale:
Placenta previa is not directly associated with high HbA1c levels in early pregnancy.
Choice D rationale:
An incompetent cervix is not directly linked to high HbA1c levels in early pregnancy.
Correct Answer is C
Explanation
Choice A rationale:
Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.
Choice B rationale:
Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.
Choice C rationale:
Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.
Choice D rationale:
Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.
So, the correct answer is C, assessing the uterine fundus.
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