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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

a. Dexamethasone is a corticosteroid that is given to women at risk of preterm delivery to stimulate fetal lung maturation and surfactant production.
b. Dexamethasone is not used for this purpose.

c. Dexamethasone is not used to suppress uterine contractions.

d. Dexamethasone is not used to reduce maternal and fetal tachycardia.

A. Diazepam. B. Hydralazine orally twice a day. C. Calcium Gluconate D. Second bolus of Magnesium sulfate.

Correct Answer is C

Explanation

a. Diazepam is not indicated for the treatment of severe preeclampsia.

b. Hydralazine orally twice a day is not indicated for the treatment of severe preeclampsia.
c. Calcium Gluconate is indicated for the treatment of hypermagnesemia, which can occur as a result of magnesium sulfate infusion.
d. This will worsen the magnesium toxicity.

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Naxlex Comprehensive Predictor Exams

A woman in preterm labor at 32 weeks of gestation receives Dexamethasone intramularly. The purpose of this pharmacologic treatment is to: Select one:

Correct Answer is A

Explanation

Correct Answer is C

Explanation

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is the interpretation of Chadwick's sign? Select one:

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

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

Physiologic anemia often occurs during pregnancy as a result of

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipal a prescription by the provider for which of the following medications? (Select all that apply.)

When evaluating a patient for sexually transmitted infections (STIs), the nurse should be aware that the most common bacterial STI is: Select one:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?