You are the nurse providing teaching to a pregnant woman on how to do kick counts. You will tell her all of the following except:
Choices:
Report fetal movement below normal as this is an indication for further assessment.
If fetal movement is decreased, you should eat something, rest, and focus on fetal movement for 1 hour.
You must lay prone to perform fetal kick counts.
Fetal movement counting is based on the physiological principles that compromised fetuses reduce activity in response to decreased oxygenation.
The Correct Answer is C
Choice A rationale
Fetal movement below normal may indicate compromised oxygenation or fetal distress. Reporting such observations is crucial for further assessment and timely intervention.
Choice B rationale
Consuming food and resting can increase glucose levels, potentially enhancing fetal movement. Monitoring for 1 hour helps to evaluate if decreased movement persists, indicating the need for further assessment.
Choice C rationale
Pregnant women should not lay prone for kick counts. This position can compress major blood vessels, reducing blood flow and oxygenation to the fetus. The left lateral position is preferred.
Choice D rationale
Reduced fetal movement can indicate decreased oxygenation in compromised fetuses. Monitoring fetal activity helps assess fetal well-being and identify potential hypoxia or distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Misoprostol (Cytotec) stimulates smooth muscle contraction, including the gastrointestinal tract, leading to increased bowel motility and diarrhea. Normal bowel frequency ranges from 3 times per day to 3 times per week.
Choice B rationale
Methergine (Methylergonovine) constricts blood vessels, leading to increased blood pressure and a risk of hypertensive crisis. Normal blood pressure is around 120/80 mmHg.
Choice C rationale
Hemabate (carboprost tromethamine) is a prostaglandin analog, which can cause bronchoconstriction, exacerbating asthma symptoms in patients. Normal peak flow ranges from 400-700 L/min.
Choice D rationale
Oxytocin (Pitocin) can cause fever, chills, and hypotension due to its effects on vascular smooth muscle and thermoregulatory centers. Normal body temperature is around 37°C (98.6°F).
Correct Answer is B
Explanation
Choice A rationale
Cord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.
Choice B rationale
Head compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.
Choice C rationale
Placental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.
Choice D rationale
Reactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.
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