Which of the following statements is NOT true about baseline fetal heart rates (FHR)?

The baseline FHR can be obtained via ultrasound or auscultation

The baseline FHR can be obtained during contractions

The baseline FHR is normal between 110-160 bpm

The baseline FHR is assessed over a 10-minute period

Answer and Explanation

The Correct Answer is B

A. The baseline FHR can be obtained via ultrasound or auscultation: True. The baseline fetal heart rate can be assessed using ultrasound or auscultation, which are standard methods.
B. The baseline FHR can be obtained during contractions: False. The baseline fetal heart rate should be obtained in the absence of uterine contractions because contractions can temporarily alter the heart rate, making it difficult to determine the true baseline.
C. The baseline FHR is normal between 110-160 bpm: True. This is the accepted normal range for baseline fetal heart rates.
D. The baseline FHR is assessed over a 10-minute period: True. The baseline is typically assessed over a 10-minute window to account for variability and provide an accurate average.

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Correct Answer is A

Explanation

A. Pain. Pain is the hallmark symptom of a sickle cell crisis due to the vaso-occlusion of sickled red blood cells blocking blood flow and causing ischemia in various tissues and organs.
B. High fever. While fever can occur if there is an associated infection, it is not a primary feature of sickle cell crisis.
C. Bradycardia. Sickle cell crisis can cause tachycardia due to pain and stress, but not bradycardia.
D. Constipation. This is not a typical symptom associated with a sickle cell crisis.

A. Vernix in the folds and creases B. Short, soft fingernails C. Abundant lanugo D. Cracked, peeling skin E. Creases covering soles of feet F. Positive moro reflex

Correct Answer is ["D","E","F"]

Explanation

A. Vernix in the folds and creases. Vernix caseosa is typically decreased or absent in postmature infants.
B. Short, soft fingernails. Postmature infants usually have long, hard fingernails.
C. Abundant lanugo. Lanugo (fine body hair) is usually less or absent in postmature infants, which is more typical of preterm infants.
D. Cracked, peeling skin. Postmature infants often have dry, peeling skin due to prolonged exposure to amniotic fluid.
E. Creases covering soles of feet. This is a sign of maturity; postmature infants have more developed skin creases on the soles of their feet.
F. Positive moro reflex. This is a normal reflex seen in infants and should be present in a postmature infant.

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Which of the following statements is NOT true about baseline fetal heart rates (FHR)?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a postmature infant. Which of the following findings would the nurse expect? (Select All that Apply.)

Correct Answer is ["D","E","F"]

Explanation

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