When providing care for the laboring woman should understand that accelerations with fetal movement:
Are caused by umbilical cord compression.
Are caused by placental uterine insufficiency.
Are a positive sign of fetal well-being.
Are an ominous sign and warrant close observation.
The Correct Answer is C
Choice A rationale
Umbilical cord compression typically causes variable decelerations in fetal heart rate, not accelerations. Accelerations are not related to cord compression but rather to other factors.
Choice B rationale
Placental uterine insufficiency leads to late decelerations rather than accelerations in fetal heart rate. Accelerations indicate adequate oxygenation, whereas insufficiency impairs fetal oxygenation.
Choice C rationale
Accelerations with fetal movement are a positive sign, indicating the fetus's well-being and appropriate response to stimuli. Normal accelerations last for at least 15 seconds and rise by 15 beats per minute.
Choice D rationale
Ominous signs in fetal monitoring include persistent late decelerations, severe bradycardia, and prolonged decelerations. Accelerations, however, are reassuring and do not warrant concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Choice A rationale
Calling for help and notifying the care provider ensures that expert medical assistance is available promptly for any emergency interventions required.
Choice B rationale
Getting help and preparing the operating room ensures readiness for an immediate cesarean section if fetal distress persists and the situation does not improve rapidly.
Choice C rationale
Starting Pitocin is inappropriate during fetal distress as it may further stress the fetus by increasing contraction frequency and intensity, potentially worsening the situation.
Choice D rationale
Inserting a Foley catheter does not address the immediate concern of fetal distress and would not provide immediate benefit in improving fetal heart rate.
Choice E rationale
Repeating uterine resuscitation measures (e.g., repositioning, oxygen, IV fluids) is essential, but if they are ineffective, additional interventions, such as preparing for possible surgical delivery, are needed.
Correct Answer is A
Explanation
Choice A rationale
Meconium is produced by the fetal intestines. The intestines start to form meconium around the 16th week of gestation. Meconium is composed of shed cells, mucus, amniotic fluid, bile, and lanugo.
Choice B rationale
The placenta does not produce meconium. Its primary functions include nutrient transfer, gas exchange, and waste elimination, but it does not have the structures necessary for the production of meconium.
Choice C rationale
Amniotic fluid does not produce meconium. Amniotic fluid surrounds and protects the fetus but does not contain the components needed to create meconium. Instead, the fetus swallows and then excretes it into the intestines.
Choice D rationale
Fetal kidneys are responsible for filtering waste and producing urine, but they do not produce meconium. The production of meconium is a function of the intestines, not the kidneys.
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