A nurse is caring for a client with irregular uterine contractions that are mild to palpation.
FHR is 130/min with moderate variability and accelerations noted.
The client has been ambulating in the hallway, took a warm shower, and is now resting in bed.
The client rates pain of contractions at 3 on a 0 to 10 scale.
What potential condition does the nurse suspect?

Umbilical cord compression.

Dysfunctional labor.

Chorioamnionitis.

Iron deficiency anemia.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Umbilical cord compression typically results in variable decelerations in the fetal heart rate, not moderate variability or regular accelerations. It can lead to changes in fetal heart rate patterns, but not regular mild contractions.

Choice B rationale

Dysfunctional labor refers to an abnormal labor pattern, including irregular uterine contractions. The described symptoms fit this condition, as they can cause mild pain and be managed by ambulation, showers, and rest.

Choice C rationale

Chorioamnionitis is an infection of the fetal membranes and amniotic fluid, leading to fever, uterine tenderness, and foul-smelling amniotic fluid, not mild contractions and moderate variability in FHR.

Choice D rationale

Iron deficiency anemia in pregnancy can cause fatigue, pallor, and shortness of breath but does not affect uterine contractions or fetal heart rate.

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Correct Answer is C

Explanation

Choice A rationale

A maternal blood pressure of 128/88 mm Hg is within normal limits for a pregnant woman. Regular monitoring is necessary, but no immediate follow-up is required unless symptoms of preeclampsia appear.

Choice B rationale

A fetal heart rate baseline of 115 bpm is within the normal range (110-160 bpm). This does not require immediate follow-up and is a reassuring sign of fetal well-being.

Choice C rationale

A maternal heart rate of 128 bpm is elevated (tachycardia) and may indicate distress, infection, dehydration, or other underlying conditions. This requires immediate follow-up to identify and address the cause.

Choice D rationale

A maternal respiratory rate of 18 breaths per minute is within the normal range (12-20 breaths per minute) and does not require immediate follow-up.

A. Category 1. B. Category 2. C. Category 3. D. Category 4. .

Correct Answer is C

Explanation

Choice A rationale

Category 1 is a normal fetal heart rate pattern with no signs of fetal distress, which is not applicable in this case.

Choice B rationale

Category 2 represents an intermediate category with some concerns, but recurrent late decelerations and absent variability place this scenario in a higher risk category.

Choice C rationale

Category 3 indicates abnormal fetal heart rate patterns, including absent variability with recurrent late decelerations, which is associated with potential fetal hypoxia or acidemia and requires prompt intervention.

Choice D rationale

There is no Category 4 in fetal heart rate monitoring. .

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in labor at 39 weeks of gestation.Which of the following assessment findings requires follow-up?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

A nurse is assessing a client who is 2 hr postpartum and received spinal anesthesia for a cesarean birth.Which of the following findings requires immediate intervention by the nurse?

A nurse in the newborn nursery is caring for a group of newborns.Which of the following assessments requires the nurse to notify the provider?

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Exhibits Complete the following sentence using the list of options: The client is at highest risk for developing dropdown due to dropdown.

A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor.The client states that she is disappointed that she did not have natural childbirth.Which of the following responses should the nurse make?

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on October 17. What is the client's EDB? (State the date in MMDD. For example, October 17 is 1017)

A nurse is caring for a newborn 1 hour following birth in the emergency unit. Exhibits Select the 5 findings the nurse should report to the provider.

A nurse is caring for four newborns in a special care nursery.Which of the following newborn assessment findings requires immediate intervention?

A nurse is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses.Which statement by the nurse indicates understanding of the teaching?