The nurse is observing the fetal monitoring tracing pictured below. What type of deceleration will the nurse document?
Variable
Early
Prolonged
Late
The Correct Answer is B
A. The image does not show variable decelerations
B. The tracing shows a decrease in the fetal heart rate that occurs during the peak of the uterine contraction and returns to the baseline after the end of the contraction. This pattern indicates a late deceleration
C. The image does not show prolonged decelerations
D. The image does not show late decelerations
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Placing the client on her left side is important for optimizing fetal oxygenation but is not the first action when there is a report of a gush of fluid.
B. Notifying the registered nurse (RN) immediately is the first action to ensure prompt assessment and appropriate interventions for possible ruptured membranes.
C. Documenting the time and color of the fluid is important, but immediate notification of the RN takes precedence.
D. Checking fetal heart tones is important but should be done in conjunction with notifying the RN to assess the overall situation and determine the appropriate course of action.
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.
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