Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

Maternal hypotension

Maternal tachycardia

The patient did not get an IV bolus prior to the epidural.

Placenta previa

Answer and Explanation

Correct Answer : A,C

A. Maternal hypotension is a common side effect of epidural anesthesia, which can reduce uteroplacental blood flow and lead to late decelerations in the fetal heart rate.

B. Maternal tachycardia is not typically associated with late decelerations; it is more often seen with early decelerations or fetal distress.

C. An IV bolus prior to the epidural helps maintain blood volume and prevent hypotension. Without it, the risk of hypotension and subsequent late decelerations increases.

D. Placenta previa typically causes painless vaginal bleeding and may lead to abnormal FHR patterns, but it is not a direct cause of late decelerations post-epidural.

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Correct Answer is B

Explanation

A. Rhogam is usually given at 28 weeks of pregnancy, not 4 days after delivery.

B. Rh-negative mothers who have had an Rh-positive baby are typically given Rhogam at 28 weeks gestation to prevent Rh sensitization. Rhogam is also given after delivery if the baby is Rh-positive.

C. Rhogam is necessary for Rh-negative women who have had an Rh-positive baby, as it helps prevent Rh sensitization in subsequent pregnancies.

D. Only the baby is at risk for Rh incompatibility, not the partner.

A. Trichomonas has a frothy discharge that is smelly B. "If I have syphilis, I will have painful urination." C. "If I wear a condom I cannot get an STD". D. "If I have herpes then I will have to have a C-Section to deliver my baby.”

Correct Answer is A

Explanation

A. Trichomonas is a sexually transmitted infection that typically causes a frothy, malodorous vaginal discharge, so this response shows an understanding of the condition.

B. Painful urination is more characteristic of a urinary tract infection or gonorrhea, not syphilis.

C. Condoms greatly reduce the risk of STDs but do not provide 100% protection, so this statement is incorrect.

D. A cesarean section is not always necessary for women with herpes; it is only recommended if there are active lesions at the time of delivery to prevent transmission.

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Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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