The nurse is caring for a client in labor and discovers late decelerations of the fetal heart rate.
What does the nurse know as the reason for this type of deceleration?
Uteroplacental insufficiency
Maternal hypotension
Cord compression
Head compression
The Correct Answer is A
A. Late decelerations are associated with uteroplacental insufficiency, indicating that the baby is not getting enough oxygen during contractions.
B. Maternal hypotension can lead to decreased perfusion but is more likely associated with variable decelerations.
C. Cord compression is often associated with variable decelerations, not late decelerations.
D. Head compression typically does not cause late decelerations; it may be associated with early decelerations.
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Related Questions
Correct Answer is D
Explanation
A. Oxytocin is administered to enhance contractions, not to slow them down.
B. While increased blood flow through the placenta is important for fetal well-being, oxytocin is primarily used to stimulate uterine contractions.
C. Increased urinary output is not the primary effect of oxytocin; its main action is to stimulate uterine contractions.
D. Oxytocin is commonly used to induce or augment labor by stimulating contractions of the uterus.
Correct Answer is C
Explanation
A. Uterine atony is characterized by a boggy and enlarged uterus, not a firm one.
B. A cervical laceration would typically present with bleeding and possibly a deviation of the uterus from the midline, but the firm uterus suggests a different cause.
C. Continuous seepage of bright red blood, along with a firm uterus, 1 cm below the umbilicus, and midline, is indicative of retained placental fragments.
D. A urinary tract infection would not typically cause continuous bright red blood seepage from the vagina.
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