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.

Answer and Explanation

The Correct Answer is 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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Correct Answer is A

Explanation

A. Positioning the car seat at a 45-degree angle helps to ensure that the baby's airway remains open and reduces the risk of slumping, which can lead to suffocation. This positioning is essential for newborns who may have limited head and neck control.

B. A car seat challenge test is typically performed for preterm infants or those with specific health concerns, not for all newborns. Newborns delivered at 38 weeks generally do not require this test unless there are other complications.

C. Car seat safety guidelines recommend that infants remain in a rear-facing position until at least 2 years of age, not just until they turn 1 year old. This statement does not demonstrate an understanding of current safety recommendations.

D. While sleep sacks can help keep a baby warm, they should not be used in a way that compromises the harness system of the car seat. It’s crucial to ensure that the baby is snugly secured in the car seat without any additional bulky clothing or blankets that could interfere with the safety harness.

In summary, the correct understanding is that the car seat should be positioned at a 45-degree angle for optimal safety.

A. A client who has gestational diabetes mellitus B. A client who has a previous classical incision C. A client who had a previous stillbirth D. A client who had a nonreactive nonstress test

Correct Answer is B

Explanation

Rationale:

A. Gestational diabetes mellitus is not a contraindication for a contraction stress test.

B. A previous classical incision (a vertical uterine incision) increases the risk of uterine rupture during labor, making a contraction stress test contraindicated.

C. A previous stillbirth is not a contraindication for a contraction stress test.

D. A nonreactive nonstress test may indicate the need for further evaluation with a contraction stress test, but it is not a contraindication in itself.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse in a prenatal clinic is caring for a group of clients. The nurse should recognize that which of the following clients has a contraindication for a contraction stress test?

Correct Answer is B

Explanation

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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?

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