Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

Go to break

Apply 100% non-rebreather mask

Give an IV fluid bolus

Reposition the mother

Increase the oxytocin drip

Decrease or stop the oxytocin

Answer and Explanation

Correct Answer : B,C,D,F

Choice A: Go to break is not an appropriate action, as it can delay the necessary interventions and compromise the fetal well-beinG. The nurse should stay with the mother and monitor the fetal heart rate and the uterine activity continuously.

Choice B: Apply 100% non-rebreather mask is an appropriate action, as it can increase the maternal oxygenation and improve the fetal oxygen delivery. The nurse should place a mask with a reservoir bag over the mother's nose and mouth and adjust the flow rate to 10 to 15 L/min.

Choice C: Give an IV fluid bolus is an appropriate action, as it can increase the maternal blood volume and improve the uterine perfusion. The nurse should administer 500 to 1000 mL of isotonic crystalloid solution rapidly through a large-bore IV catheter.

Choice D: Reposition the mother is an appropriate action, as it can relieve the uterine or cord compression and improve the fetal circulation. The nurse should turn the mother to the left or right lateral position or place her in a knee-chest position.

Choice E: Increase the oxytocin drip is not an appropriate action, as it can increase the uterine contractions and reduce the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

Choice F: Decrease or stop the oxytocin is an appropriate action, as it can decrease the uterine contractions and increase the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

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Correct Answer is D

Explanation

Choice A: The purpose of this medication is to stop preterm labor contractions is not a correct statement, as betamethasone is not a tocolytic agent that inhibits uterine activity. Betamethasone is a corticosteroid that enhances the production of surfactant and reduces the risk of respiratory distress syndrome in preterm infants.

Choice B: The purpose of this medication is to increase the fetal heart rate is not a correct statement, as betamethasone does not have a direct effect on the fetal heart ratE. Betamethasone may cause maternal tachycardia as a side effect, but it does not affect the fetal cardiac function.

Choice C: The purpose of this medication is to halt cervical dilation is not a correct statement, as betamethasone does not have an effect on the cervical ripening or effacement. Betamethasone is given to improve the fetal outcomes in case of preterm delivery, but it does not prevent or delay the labor process.

Choice D: The purpose of this medication is to boost fetal lung maturity is a correct statement, as betamethasone is a corticosteroid that stimulates the synthesis of surfactant and accelerates the maturation of the fetal lungs. Betamethasone is given to reduce the incidence and severity of respiratory distress syndrome and other neonatal complications in preterm infants.

A. "It is too soon for you to be worrying about that now." B. "The primary consideration for a safe attempt at a vaginal birth after cesarean (VBAC. is what type of incision you had." C. "There are so many variables and I don't have time to explain them all to you, so you will have to ask your provider later." D. "A repeat cesarean section would be safer for both you and your baby."

Correct Answer is B

Explanation

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Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasonE. Which of the following statements should the nurse make? (Select onE.:

Correct Answer is D

Explanation

A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC.. Which of the following statements by the nurse is appropriate?

Correct Answer is B

Explanation

Benefits of immediate skin to skin contact include (Select all that apply):

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Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

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