What could be the result of fetal head compression?
Uteroplacental insufficiency.
Spontaneous rupture of membranes.
Altered fetal cerebral blood flow.
Umbilical cord compression.
The Correct Answer is A
Choice A rationale: Uteroplacental insufficiency causes late decelerations due to reduced oxygenation, not mechanical pressure. It reflects placental dysfunction, not direct cranial compression effects.
Choice B rationale: Spontaneous rupture of membranes increases infection and labor risk but does not directly alter cerebral perfusion or trigger vagal responses linked to head compression.
Choice C rationale: Altered fetal cerebral blood flow results from cranial pressure during contractions, triggering vagal stimulation and early decelerations. This is the physiological response to head compression.
Choice D rationale: Umbilical cord compression causes variable decelerations due to transient blood flow obstruction, unrelated to cranial pressure or cerebral perfusion changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Repaglinide is an oral medication used to control blood sugar in people with type 2 diabetes, but it is not typically used in pregnancy.
Choice B rationale
Insulin is the most common medication used to control blood sugar in pregnant women with gestational diabetes when diet and exercise are not enough.
Choice C rationale
Acarbose is an oral medication used to control blood sugar in people with type 2 diabetes, but it is not typically used in pregnancy.
Choice D rationale
Glipizide is an oral medication used to control blood sugar in people with type 2 diabetes, but it is not typically used in pregnancy.
Correct Answer is A
Explanation
Choice A rationale
Assessing the fetal heart rate pattern is the priority nursing action following an amniotomy. This allows the nurse to monitor for signs of fetal distress, which can occur if the umbilical cord becomes compressed or prolapses as a result of the procedure.
Choice B rationale
Observing the color and consistency of the fluid can provide information about the well-being of the fetus, but it is not the priority action following an amniotomy.
Choice C rationale
Assessing the client’s temperature is important to monitor for signs of infection, but it is not the priority action following an amniotomy.
Choice D rationale
Evaluating the client for the presence of chills and increased uterine tenderness using palpation can help identify complications such as infection or uterine rupture, but it is not the priority action following an amniotomy.
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