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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
Indicated:
B. Remove the newborn from phototherapy every 4 hours for thorough assessment of adverse effects of phototherapy.
D. Maintain an eye mask over the newborn's eyes.
E. Reposition the newborn every 2 hours.
F. Report sunken fontanels to the provider.
Contraindicated:
A. Apply lotion to the skin every 4 hours.
C. Newborn feedings should be every 8 hours.
Correct Answer is B
Explanation
Choice A rationale
The supine position is not recommended for breastfeeding because it can lead to issues with latching and milk flow, making it uncomfortable and potentially unsafe.
Choice B rationale
The cradle position is a common and effective breastfeeding position where the baby's head rests in the crook of the mother's arm, allowing for close contact and support.
Choice C rationale
Upright with chin support is not a standard breastfeeding position and may not provide the necessary support or alignment for effective breastfeeding.
Choice D rationale
Over-the-shoulder is also not a recommended breastfeeding position as it is impractical and does not facilitate proper latching or feeding. .
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