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A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy. Which of the following findings indicates that the fetus is at risk?

A.

Recurrent variable deceleration of the FHR

B.

Uterine contractions every 6 min

C.

Uterine contractions lasting 30 to 45 seconds

D.

Moderate variability of the FHR

Answer and Explanation

The Correct Answer is A

A.    Recurrent variable decelerations of the fetal heart rate (FHR) are concerning and can indicate fetal distress.
B.    Uterine contractions every 6 minutes may not provide effective progress in labor, but it is not indicative of fetal distress.
C.    Uterine contractions lasting 30 to 45 seconds are within the normal range for labor.
D.    Moderate variability of the FHR is a reassuring sign and indicates that the fetus is tolerating labor well.
 


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Related Questions

Correct Answer is B

Explanation

A: A dark line in the middle of the abdomen (linea nigra. is a normal pigment change during pregnancy and is not indicative of an infection.
B: Hormonal changes during pregnancy can lead to increased pigmentation, often called "mask of pregnancy" or chloasma. This can cause discoloration on the cheeks.
C: Swelling of fingers and face (edema. can occur during pregnancy due to fluid retention, but it is not universal for all pregnant individuals.
D: Burning during urination is more indicative of a urinary tract infection and should be reported to a healthcare provider.

Correct Answer is A

Explanation

A. Yogurt is a good source of calcium and is a suitable recommendation for a client with a low calcium level during pregnancy.
B. Long-grain rice is not particularly high in calcium.
C. Avocados are a healthy food but are not a significant source of calcium.
D. Peanut butter is not a significant source of calcium.

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