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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

a. The nonstress test is considered reactive if there are two or more accelerations of the fetal heart rate (FHR) in a 20-minute period, lasting 15 seconds or longer and peaking at least 15 beats per minute above the baseline. The FHR baseline is between 110 and 160 beats per minute, with moderate variability. The test is considered nonreactive if these criteria are not met.
b. Turning the client onto her left side is not necessary, as the test is already reactive.
c. Encouraging the client to walk around is not necessary, as the test is already reactive.
d. Notifying the client's provider and preparing for induction of labor is not necessary, as the test is already reactive.
e. Offering the client a snack of orange juice is not necessary, as the test is already reactive.

A. The fetus is establishing iron stores. B. Inadequate intake of iron. C. Decreased production of erythrocytes (RBC) D. Dilution of hemoglobin concentration

Correct Answer is D

Explanation

a. The fetus establishing iron stores is not a cause of physiologic anemia during pregnancy.
b. Inadequate intake of iron can contribute to iron-deficiency anemia during pregnancy but is not the cause of physiologic anemia.
c. Decreased production of erythrocytes (RBC) is not a cause of physiologic anemia during pregnancy.
d. Dilution of hemoglobin concentration due to increased plasma volume during pregnancy is a cause of physiologic anemia.

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The nurse caring for the laboring woman should understand that early decelerations are caused by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) baseline is around 130 beats/min, with four accelerations in 20 minutes, lasting 20 seconds each and the FHR increased more than 25 bpm. Which of the following actions should the nurse perform?

Correct Answer is A

Explanation

Physiologic anemia often occurs during pregnancy as a result of

Correct Answer is D

Explanation

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