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 A

Explanation

Choice A rationale
A fundus that is three fingerbreadths above the umbilicus 8 hours postpartum is a sign of urinary retention, which can displace the uterus and inhibit uterine contraction, leading to postpartum hemorrhage.
Choice B rationale
Moderate lochia rubra, or bloody discharge, is normal within the first few days after childbirth.
Choice C rationale
A blood pressure of 130/84 mm Hg is within the normal range for a postpartum woman.
Choice D rationale
Moderate swelling of the labia can be a normal finding after a vaginal birth.

A. Notify the client’s provider. B. Document the findings and continue to monitor the client. C. Increase the frequency of fundal massage. D. Encourage the client to empty her bladder.

Correct Answer is B

Explanation

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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

Which of the following findings should alert a nurse assessing a client who is 8 hr postpartum and multiparous?

Correct Answer is A

Explanation

What action should a nurse take when caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client’s perineal pad, with the fundus midline and firm at the umbilicus?

Correct Answer is B

Explanation

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