A nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR. After discontinuing the infusion, which of the following actions should the nurse take?
Administer oxygen at 10 L/min via nonrebreather facemask.
Initiate an amnioinfusion.
Instruct the client to bear down and push with contractions.
Place the client in a supine position.
The Correct Answer is A
A.
Rationale:
A. Administering oxygen helps improve oxygenation to the fetus and is the priority intervention for late decelerations.
B. Amnioinfusion may be considered for variable decelerations caused by oligohydramnios but is not indicated for late decelerations.
C. Instructing the client to bear down and push with contractions is not appropriate for addressing late decelerations and may worsen fetal distress.
D. Placing the client in a supine position can exacerbate late decelerations by reducing blood flow to the uterus and should be avoided.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A. Using Naegle’s rule, May 3rd isn’t the correct answer
B. Using Naegle’s rule, May 20th isn’t the correct answer
C. Using Naegle’s rule, May 13th isn’t the correct answer
D. This is the correct answer Using Nägele's Rule:
1. Determine the first day of the last menstrual period (LMP): August 10.
2. Subtract 3 months: August - 3 months = May.
3. Add 7 days: May 10 + 7 days = May 17.
Correct Answer is C
Explanation
Rationale:
A. Provide the newborn with 15 ml glucose water after each feeding: This action is not directly related to phototherapy for jaundice treatment.
B. Turn the newborn every 4 hours: While turning the newborn is important for preventing pressure ulcers, it is not specifically related to phototherapy.
C. Close the newborn's eyes before applying eyepatches:
Correct answer. It is important to protect the newborn's eyes from phototherapy light by using eye patches or covering their eyes with soft material to prevent damage to the retina.
D. Apply hydrating lotion to the newborn's skin prior to treatment: Hydrating lotion is not typically applied before phototherapy, as it may interfere with the effectiveness of the treatment or cause skin irritation.
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