The nurse is caring for a client in labor. Assessment findings: The fetal heart rate (FHR) baseline is 120 bpm The FHR begins slowing as the contraction starts, and is back to baseline at the end of the contraction There is moderate variability of the FHR Which periodic change will the nurse document in the electronic health record?

Late

Early

Acceleration

Variable

Answer and Explanation

The Correct Answer is B

A.   Late decelerations typically start after the contraction has reached its peak and return to baseline after the contraction ends, not during the contraction.
B.   Early decelerations coincide with the contraction and return to baseline by the end of the contraction. They are typically considered benign and related to head compression.
C.   Accelerations are brief increases in the FHR above the baseline and are usually associated with fetal movement.
D.   Variable decelerations are abrupt decreases in the FHR, often unrelated to contractions, and have an erratic pattern.

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Correct Answer is C

Explanation

A. While shape and height are important aspects, tone is also a key component in assessing the fundus after childbirth.
B. Position is part of the assessment, but the shape and tone are equally crucial components.

C. This choice correctly includes all the essential aspects of a fundal assessment: tone, shape, and position.
D. While shape and height are important, tone and position are equally vital components in assessing the fundus.

A. "With a classical incision, there is an increased risk of uterine rupture in labor, so a vaginal birth is not usually recommended." B. "This depends on whether your next baby is born at full term; if it is another preterm birth, then a repeat cesarean will be advised." C. "There is a decreased risk for complications and easier recovery after a vaginal birth, so a vaginal birth will be recommended for you." D. "As long as there is an 18-month interval for scar healing between births, a vaginal birth after cesarean is generally permitted."

Correct Answer is A

Explanation

A. A classical incision increases the risk of uterine rupture during labor, and a vaginal birth is not typically recommended due to this risk.
B. The type of incision, not the term of the subsequent birth, is the primary consideration for deciding on a mode of delivery.
C. A classical incision is associated with an increased risk of complications, not a decreased risk.

D. The recommendation for a vaginal birth after cesarean (VBAC) depends on factors such as the type of uterine incision and other clinical considerations, not just the time interval.

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Naxlex Comprehensive Predictor Exams

The nurse is completing a fundal assessment for her postpartum clients today. What will the nurse determine when assessing the fundus?

Correct Answer is C

Explanation

The nurse is discussing birth options with a pregnant client. The client previously had a cesarean birth with a classical incision at 26 weeks' gestation but desires a vaginal birth with this pregnancy. What is the best response by the nurse?

Correct Answer is A

Explanation

The nurse is caring for a client in labor. Which assessment finding will the nurse report to the charge nurse immediately?

The nurse is caring for a client during a vaginal exam by the provider. The provider informs the client that he will use the most common mechanical method to ripen her cervix prior to induction of labor. What is the method being used by the provider?

The nurse takes a phone call from a client at two weeks postpartum. The client states, "My left breast hurts." What other question will the nurse ask her to determine if it is mastitis?

The nurse is observing the fetal monitoring tracing pictured below. What type of deceleration will the nurse document?

The nurse is assisting a pregnant patient into bed after the patient reports a gush of fluid from the vagina. Which action will the nurse take first?

The nurse is caring for a client during a vaginal exam by the provider. The provider informs the client that he will use the most common mechanical method to ripen her cervix prior to induction of labor. What is the method being used by the provider?