Which fetal heart rate (FHR) finding would concern the nurse during labor?

Select one:

Accelerations with fetal movement

Early decelerations

Late decelerations

An average FHR of 126 beats/min

Answer and Explanation

The Correct Answer is C

a. This is a normal FHR pattern and is not a cause for concern.

b. These are generally benign and are not a cause for concern.

c. Late decelerations can indicate uteroplacental insufficiency and are a cause for concern.
d. This is a normal FHR and is not a cause for concern.

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Correct Answer is A

Explanation

a. Amenorrhea, or the absence of menstrual periods, is a presumptive sign of pregnancy that occurs around the time of implantation of the fertilized egg.
b. A positive pregnancy test is a probable sign of pregnancy that can occur as early as 7-10 days after conception.
c. Chadwick's sign, or the bluish discoloration of the cervix and vagina, is a probable sign of pregnancy that typically occurs around 6-8 weeks of gestation.
d. Hegar's sign, or the softening of the lower uterine segment, is a probable sign of pregnancy that typically occurs around 6-12 weeks of gestation.

A. At any time during a shower or bath B. 5 to 7 days after menses ceases C. Day 1 of the endometrial cycle D. Three days before the period start

Correct Answer is B

Explanation

a. While breast self-examination (BSE) can be done at any time, the best time is 5 to 7 days after menses ceases when the breasts are less likely to be tender or swollen.
b. This is the best time for BSE when the breasts are least likely to be tender or swollen.
c. This is not the best time for BSE.

d. This is not the best time for BSE.

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Which fetal heart rate (FHR) finding would concern the nurse during labor? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

Correct Answer is A

Explanation

Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

Correct Answer is B

Explanation

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth Select one:

A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?

A nurse in a prenatal clinic is teaching a client who has a new prescription for Dinoprostone gel. Which of the following statements should the nurse include in the teaching? Select one:

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

Which fetal heart rate (FHR) finding would concern the nurse during labor?

Select one: