When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

Turn the patient to her side.

Provide 2-3 liters of oxygen via mask

Notify the health care provider.

Stop the oxytocin

Answer and Explanation

Correct Answer : A,B,C,D

A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.

B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.

C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.

D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","D"]

Explanation

A. A G3 P2 laboring patient with a current vaginal exam of 8/100%/0: This patient is in advanced labor (transition phase) and IV pain medication is typically avoided due to the proximity to delivery, which could affect the newborn.

B. A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80%/-1: This patient is in active labor with normal fetal heart tracing, making her a suitable candidate for IV pain medication.

C. A G1 P0 laboring patient with the FHT showing no variability and late decelerations: This patient has non-reassuring fetal heart tracings, indicating potential fetal distress, making IV pain medication inappropriate as it could further compromise the fetus.

D. A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes: This patient is also in active labor with normal fetal heart tracings, making her a suitable candidate for IV pain medication.

A. Monitor oxygen saturation. B. Begin droplet precautions. C. Inspect the epiglottis. D. Obtain a throat culture. E. Initiate IV access.

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

Explanation

A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.

B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.

C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.

D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.

E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

Correct Answer is ["B","D"]

Explanation

A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

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

Explanation

The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

Temp 98.6 (O) Sp02 98% on RA FHR 155 with minimal variability Exhibits Which of the following will you recommend for this patient? (Select all that apply)

The nurse educator is preparing an educational workshop on fetal development. Which statement from a patient would indicate they need additional teaching or information?

A woman is 12 weeks pregnant. She has a 5 year old son born at 38 weeks and 3 year old twin daughters that were born at 36 weeks gestation. She had one other pregnancy that terminated spontaneously at 8 weeks. You would document this as

A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?

You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).