While evaluating an external monitor tracing of a woman in active labor, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate during the contraction's peak, with the nadir of the decelerations occurring when the contraction end. The nurse's first priority is to:
Select one:
Insert a scalp electrode.
Notify the care provider.
Assist with amnioinfusion.
Reposition the patient.
The Correct Answer is D
a. A scalp electrode is not indicated unless there is a problem with the external monitor tracing or if further assessment of the fetal heart rate variability is needed.
b. This is important but repositioning the patient is the priority.
c. Amnioinfusion is only done if repositioning the patient does not resolve the late decelerations.
d. The nurse is observing late decelerations of the fetal heart rate, which indicate uteroplacental insufficiency and fetal hypoxia. The nurse's first priority is to reposition the patient to improve placental blood flow and oxygen delivery to the fetus. Repositioning can be done by turning the patient to her side, elevating her legs, or placing a wedge under her hip.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. GnRH does not directly affect blood pressure control.
b. GnRH does not directly affect intestinal motility.
c. GnRH is a hormone that stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are involved in follicle growth and maturation in the ovaries.
d. GnRH does not directly affect insulin secretion.
Correct Answer is D
Explanation
a. Human papillomavirus (HPV) is a viral STI, not bacterial.
b. Herpes simplex is a viral STI, not bacterial.
c. Condyloma lata is a manifestation of secondary syphilis, which is caused by Treponema pallidum, a bacterium, but it is not the most common bacterial STI.
d. Chlamydia is the most common bacterial STI.
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