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. In this case, the woman is pregnant for the fourth time, so her gravidity is 4.

She has one child born at 39 weeks, another child born at 40 weeks, and one child born at 36.2 weeks. The first two are considered term births, and the last one is considered a preterm birth. Therefore, her term is 1 and her preterm is 2. She has no abortions, so her abortion is 0. She has three living children, so her living children is 3. Hence, her GTPAL is 4-2-1-0-3.
b. This indicates 1 full-term pregnancy, 1 preterm pregnancy, and 3 living child.

c. This would indicate 1 full-term pregnancy, 2 preterm pregnancies, and 3 living children.
d. 4-3-0-0-3: This would indicate 3 full-term pregnancies and 3 living children.

A. Knot in the umbilical cord. B. Altered fetal cerebral blood flow. C. Uteroplacental insufficiency. D. Umbilical cord compression.

Correct Answer is C

Explanation

a. This is a common cause of variable decelerations, not late decelerations.

b. This is a common cause of variable decelerations, not late decelerations.

c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.

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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

Correct Answer is A

Explanation

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

Correct Answer is C

Explanation

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Select one: