What is the primary purpose of assessing fetal heart rate patterns during labor and delivery?

To identify the mother's risk for complications

To monitor the baby's oxygenation and overall well-being

To predict the baby's birth weight

To determine the baby's gender

Answer and Explanation

The Correct Answer is B

A. To identify the mother's risk for complications. While maternal complications may indirectly affect the fetus, fetal heart rate monitoring is focused on the baby’s well-being.

B. To monitor the baby's oxygenation and overall well-being. Fetal heart rate monitoring primarily assesses the baby’s oxygenation and detects signs of distress (e.g., bradycardia or tachycardia).

C. To predict the baby's birth weight. Fetal heart rate monitoring does not predict birth weight.

D. To determine the baby's gender. Fetal heart rate monitoring cannot determine the baby’s gender.

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Correct Answer is B

Explanation

A. Monitor the patient's urinary output. While monitoring urinary output is important, it is not the primary concern when administering oxytocin for labor induction.

B. Monitor for tachysystole. Tachysystole (defined as more than 5 contractions in 10 minutes) is a potential complication of oxytocin administration. It can lead to fetal distress, so it is crucial to monitor for this condition.

C. Monitor the patient's coping mechanisms for labor. Monitoring coping mechanisms is important, but it is not the primary responsibility when administering oxytocin.

D. Monitor the IV site. While the IV site should be monitored for complications such as infiltration, it is not the primary concern with oxytocin administration.

A. Contraction lasting 85 seconds B. Fetal heart rate 100/min for a 10-min period C. Contraction resting period 35 seconds D. Four contractions in a 10-min period

Correct Answer is B

Explanation

A. Contraction lasting 85 seconds. While contractions longer than 90 seconds should be reported due to the risk of uterine hyperstimulation, an 85-second contraction is within normal limits.

B. Fetal heart rate 100/min for a 10-min period. A fetal heart rate of 100/min indicates bradycardia, which can signify fetal distress. Fetal bradycardia (below 110 beats per minute) lasting more than 10 minutes is an emergency.

C. Contraction resting period 35 seconds. A 35-second resting period between contractions is short but not abnormal enough to require immediate reporting unless accompanied by signs of fetal distress.

D. Four contractions in a 10-min period. Four contractions in 10 minutes is normal during active labor, where uterine activity is expected to increase.

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What is the primary purpose of assessing fetal heart rate patterns during labor and delivery?

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