The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by:

Select one:

Knot in the umbilical cord.

Altered fetal cerebral blood flow.

Uteroplacental insufficiency.

Umbilical cord compression.

Answer and Explanation

The Correct Answer is C

a. This is a common cause of variable decelerations, not late decelerations.

b. This is a common cause of variable decelerations, not late decelerations.

c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.

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Correct Answer is C

Explanation

a. The client should also be placed in Trendelenburg or knee-chest position to reduce cord compression.
b. This is not the first action to take when the umbilical cord is prolapsed.
c. This is a medical emergency that requires immediate intervention to prevent fetal hypoxia and death. The nurse should insert a gloved hand into the vagina and apply upward pressure on the presenting part to lift it off the cord until delivery.
d. This may be necessary if the cord compression cannot be relieved, but the first priority is to relieve the cord compression.

A. Enteral nutrition to correct nutritional deficits. B. Corticosteroids and antibiotics to reduce the infection. C. NPO for 48 hrs and IV therapy to correct fluid and electrolyte imbalances. D. All antiemetic, such as pyridoxine (vitamin B6) to control nausea and vomiting. E. All antiemetic, such as pyridoxine (vitamin B6) to control nausea and vomiting.

Correct Answer is C

Explanation

a. This may be necessary once the woman's condition stabilizes, but it is not the initial treatment.
b. This is not typically indicated for hyperemesis gravidarum.

c. This is the initial treatment for hyperemesis gravidarum to prevent dehydration and correct electrolyte imbalances.
d. This may be part of the treatment plan, but it is not the initial treatment.

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The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

Correct Answer is C

Explanation

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. What should the nurse expect the initial treatment will be? Select one:

Correct Answer is C

Explanation

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

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A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

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Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by:

Select one: