The fetal heart rate decelerates from baseline mirroring the uterine contractions and then returns to baseline by the end of the contraction. What action by the nurse is indicated?

Administer oxygen via mask

Reposition the woman

Document and continue monitoring

Apply a fetal scalp electrode.

Answer and Explanation

The Correct Answer is C

A. Administering oxygen via mask is indicated when there is concern for fetal hypoxia, such as late decelerations or variable decelerations.

B. Repositioning the woman may be appropriate if fetal heart rate patterns are concerning, but in this case, the decelerations are likely to be normal variable decelerations.

C. This is a pattern of early decelerations, which is typically benign and reflects fetal head compression. The appropriate action is to document and continue monitoring.

D. Applying a fetal scalp electrode is not indicated unless there is difficulty obtaining an accurate fetal heart rate on external monitoring.

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Correct Answer is ["A","B","E","F"]

Explanation

A. Fundal tone assessment helps detect uterine atony.

B. Lochia assessment monitors postpartum bleeding.

C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.

D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.

E. Vital signs are crucial to monitor for hemorrhage or shock.

F. Bladder distension can affect uterine contraction and bleeding.

A. It provides neuroprotection to your baby B. It helps to lower your blood pressure. C. It decreases the risk of seizures D. It will decrease your symptoms of headache and blurred vision.

Correct Answer is C

Explanation

A. Magnesium sulfate is not primarily used for neuroprotection in pre-eclampsia; it is used to prevent seizures, which are a complication of the condition.

B. While magnesium sulfate may have some mild blood pressure-lowering effects, its main role in pre-eclampsia is seizure prevention.

C. Magnesium sulfate is given to prevent seizures in women with pre-eclampsia or eclampsia, which are associated with the condition's severity.

D. While magnesium sulfate may help with symptoms like headaches and blurred vision, its primary purpose is to reduce the risk of seizures.

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The fetal heart rate decelerates from baseline mirroring the uterine contractions and then returns to baseline by the end of the contraction. What action by the nurse is indicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Correct Answer is ["A","B","E","F"]

Explanation

A woman who is 37 weeks gestation is diagnosed with pre-eclampsia. She asks the nurse why she is getting Magnesium Sulfate. What is the best response?

Correct Answer is C

Explanation

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