Nurs 2258-4331 Paediatrics Proctored Exam ( 51 Questions)

Question 1 of 51 :

A nurse is called to attend a delivery of a Gravida 2 Term 0 Preterm 1 Abortion 0 Living 1 patient at 10 centimeters, 100 percent effacement, and plus 4 station.

The mother has had minimal prenatal care during this pregnancy and thinks she is 38 weeks gestation.

The Labor and Delivery nurse states the only significant issues during labor are: spontaneous rupture of membranes 19 hours ago with clear fluid.

Vital signs stable.

Required augmentation with Pitocin for the past 10 hours.

The patient experienced a 20 minute episode of uterine tachysystole 2 hours ago.

Pitocin was turned off, the patient was turned, an intravenous bolus was given, and oxygen was started, and the uterine tachysystole resolved.

The fetal heart rate during that time had a prolonged deceleration lasting 4 minutes but returned to the baseline of 140 with intrauterine resuscitative measures.

The fetal heart rate is currently 145, with moderate variability, accelerations, and early decelerations present.

The nursery nurse would anticipate which of the following? Select all that apply:


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