Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

Choice A rationale

Evaluating the fetal heart rate does not address maternal symptoms of supine hypotensive syndrome. Moving the client first corrects the underlying issue. Fetal evaluation can follow once maternal circulation improves, ensuring both are assessed.

Choice B rationale

Checking recent food and fluid intake does not immediately address the likely cause of supine hypotensive syndrome. Correcting maternal positioning is urgent to improve venous return and prevent adverse effects, then other assessments can follow.

Choice C rationale

Measuring blood pressure and pulse can confirm hypotension but does not address its cause. Immediate repositioning to lateral position alleviates the compression on the inferior vena cava, improving blood flow before measuring vitals.

Choice D rationale

Turning to a lateral position relieves the vena cava from compression by the gravid uterus, reducing symptoms of supine hypotensive syndrome. This action improves venous return, stabilizing maternal hemodynamics and alleviating dizziness and pallor.

Choice A rationale

A reactive nonstress test is defined as having two or more fetal heart rate accelerations of at least 15 beats per minute lasting 15 seconds or more within a 20-minute period.

Choice B rationale

No late decelerations of the fetal heart rate do not define a reactive nonstress test, which focuses on fetal heart rate accelerations as indicators of fetal well-being.

Choice C rationale

The presence of late decelerations in more than 50% of contractions indicates uteroplacental insufficiency and fetal distress, not a reactive nonstress test which requires accelerations.

Choice D rationale

Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds do not meet the criteria for a reactive nonstress test, which requires accelerations of 15 beats per minute lasting 15 seconds or more.