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 D
Explanation
a. Ectopic pregnancy occurs outside the uterus, so uterine enlargement is not expected.
b. Vaginal bleeding may occur but is not specific to ectopic pregnancy.
c. These symptoms are nonspecific and can occur in various conditions, including ectopic pregnancy, but they are not specific to it.
d. This is a classic symptom of ectopic pregnancy and occurs due to the stretching of the fallopian tube or rupture.
Correct Answer is B
Explanation
a. A posterior presentation is when the fetus's back is toward the mother's back, and the fetal heart tones are usually heard on either side of the mother's abdomen.
b. A breech presentation is when the fetus's buttocks or feet are closest to the cervix. The fetal heart tones are usually heard above the umbilicus, at the midline, in a breech presentation.
c. A cephalic presentation is when the fetus's head is closest to the cervix, and the fetal heart tones are usually heard below the umbilicus, in either quadrant.
d. An oblique presentation is when the fetus's head or buttocks are angled toward one side of the pelvis, and the fetal heart tones are usually heard off-center, above or below the umbilicus.
e. A transverse presentation is when the fetus's spine is perpendicular to the mother's spine, and the fetal heart tones are usually heard on one side of the abdomen.
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