What could be the primary reason for early decelerations in the fetal heart rate (FHR) pattern?

Spontaneous rupture of membranes.

Uteroplacental insufficiency.

Altered fetal cerebral blood flow.

Umbilical cord compression.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Early decelerations in the fetal heart rate (FHR) are caused by compression of the fetus’s head during a uterine contraction. This often happens during later stages of labor as the baby is descending through the birth canal. They may also occur during early labor if the baby is premature or in a breech position. This causes the uterus to squeeze the head during contractions.
Choice B rationale
Uteroplacental insufficiency is a condition where the placenta does not provide enough oxygen and nutrients to the fetus. This condition is typically associated with late decelerations in the FHR, not early decelerations.
Choice C rationale
Altered fetal cerebral blood flow is not typically associated with early decelerations in the FHR34.
Choice D rationale

Umbilical cord compression is typically associated with variable decelerations in the FHR, not early decelerations.

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Correct Answer is ["0.8"]

Explanation

Step 1 is to determine the amount of heparin to administer. The client is receiving 3,800 units of heparin, and the available heparin is 5,000 units/mL.
Step 2 is to set up the calculation: (3,800 units ÷ 5,000 units/mL) = x mL.
Step 3 is to perform the calculation: x = 0.76 mL. Therefore, the nurse should administer 0.8 mL of heparin, rounded to the nearest tenth.

A. Allow the newborn to continue crying. B. Swaddle the newborn in a receiving blanket. C. Carry the newborn in a front or back pack. D. Keep the newborn in the center of a large crib. E. Take the newborn for a ride in the car. F. Take the newborn for a ride in the car.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale
Allowing the newborn to continue crying is not recommended. Persistent crying can be a sign of discomfort or distress in the newborn, and it is important to identify and address the cause.
Choice B rationale
Swaddling the newborn in a receiving blanket can provide a sense of security and comfort, which can help soothe a crying newborn.
Choice C rationale
Carrying the newborn in a front or back pack can provide close physical contact and movement, both of which can be soothing to a crying newborn.
Choice D rationale

Keeping the newborn in the center of a large crib does not directly address the issue of persistent crying.
Choice E rationale
Taking the newborn for a ride in the car can provide soothing movement and noise, which can help calm a crying newborn.

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What could be the primary reason for early decelerations in the fetal heart rate (FHR) pattern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving heparin 3,800 units subcutaneously daily. Available is heparin 5,000 units/mL. How many ml should the nurse administer? (Round the answer to the nearest tenth.) .

Correct Answer is ["0.8"]

Explanation

A nurse in a pediatric clinic is caring for a client who is postpartum and asks the nurse what to do if her newborn is persistently crying. Which of the following strategies should the nurse suggest? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

What is the estimated date of birth (EDB) for a client who is pregnant and whose last menstrual period began on July 27? (State the date in MMDD. For example, July 27 is 0727)

A nurse is caring for a new mother who is worried about her newborn’s crossed eyes. Which of the following responses by the nurse would be therapeutic?

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A nurse in the newborn unit is caring for several infants. Which of the following situations requires the nurse's immediate attention and intervention?

A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination.Which of the following actions should the nurse take?

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A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client who is in active labor and notes late decelerations on the fetal monitor. Which of the following is the priority nursing action?