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 A

Explanation

Choice A rationale:

Physiologic anemia due to hemoglobin decrease does not cause dizziness when lying flat.

Choice B rationale:

A 50% increase in blood volume does not directly cause dizziness when lying flat.

Choice C rationale:

The gravid uterus can compress the vena cava when the woman lies flat, reducing blood flow to the heart and causing dizziness.

Choice D rationale:

Pressure of the presenting fetal part on the diaphragm can cause shortness of breath, but not dizziness.

A. Bacterial vaginosis. B. Candidiasis. C. Genital herpes simplex. D. Trichomoniasis.

Correct Answer is B

Explanation

Choice A rationale:

Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.

Choice B rationale:

Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.

Choice C rationale:

Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.

Choice D rationale:

Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out when I lie down flat on my back.”. The nurse explains that this is due to:.

Correct Answer is A

Explanation

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:.

Correct Answer is B

Explanation

Which measure would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause?.

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.

When developing a teaching plan for a couple who are considering contraception options, the nurse would include which statement?.

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?.

After describing continuous internal electronic fetal monitoring to a laboring woman and her partner, which statement by the woman would indicate the need for additional teaching?.

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?