The nurse caring for the laboring woman should understand that early decelerations are caused by:
Umbilical cord compression.
Spontaneous rupture of membranes
Real knot of the umbilical cord.
Compression the fetal head.
The Correct Answer is D
a. This is a common cause of variable decelerations, not early decelerations.
b. This is not a cause of early decelerations.
c. This is a common cause of variable decelerations, not early decelerations.
d. This is the cause of early decelerations and is a normal response to the pressure of the fetal head on the cervix during contractions.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
a. Terbutaline is a beta-agonist that can be used to relax the uterus and delay delivery in preterm labor.
b. Oxytocin is a hormone that is used to induce labor and is not typically used in preterm labor.
c. Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can be used to decrease uterine contractions in preterm labor.
d. Misoprostol is a prostaglandin E1 (PGE1) analog that is used for cervical ripening and is not typically used in preterm labor.
e. Magnesium sulfate is a tocolytic agent that can be used to relax the uterus and delay delivery in preterm labor.
Correct Answer is A
Explanation
a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.
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