A nurse is discussing fetal oxygenation during labor of a client with the RN. As the client progresses through the first stage of labor, which of the following client physiologic adaptations should the nurse identify as promoting fetal oxygenation?
Elevated client blood pressure during contractions
Decrease in client blood volume
Increased client cardiac output
Client bradypnea
The Correct Answer is C
A. Elevated client blood pressure during contractions – Incorrect; high BP can reduce uteroplacental circulation, affecting fetal oxygenation.
B. Decrease in client blood volume – Incorrect; a drop in blood volume would compromise oxygen delivery.
C. Increased client cardiac output – Correct; cardiac output increases during labor to enhance blood flow to the placenta, improving fetal oxygenation.
D. Client bradypnea – Incorrect; slow breathing (bradypnea) can lead to hypoxia, reducing fetal oxygen supply.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Monitor FHR and contraction pattern – Correct; LPNs can monitor fetal heart rate (FHR) and contractions.
B. Monitor maternal vital signs – Correct; LPNs are responsible for monitoring the mother's BP, pulse, and other vitals.
C. Perform vaginal exams – Incorrect; LPNs do NOT perform cervical checks—this is the role of RNs or providers.
D. Provide maternal comfort measures – Correct; LPNs assist with positioning, massage, and breathing techniques for comfort.
E. Monitor maternal coping – Correct; LPNs can assess maternal coping mechanisms and provide support.
Correct Answer is B
Explanation
A. Dilation – Incorrect; dilation refers to the opening of the cervix, not its thinning.
B. Effacement – Correct; effacement refers to the thinning and shortening of the cervix as labor progresses.
C. Ballottement – Incorrect; ballottement is the rebound of the fetus when tapped during a vaginal exam.
D. Multiparous – Incorrect; multiparous refers to a woman who has given birth multiple times.
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