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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Passageway – Incorrect; the provider states she has a roomy pelvis, meaning the passageway is adequate.

B. Powers – Correct; contractions are infrequent (every 10 minutes), short (30-40 sec), and mild, which may not be strong enough to promote cervical dilation and descent of the fetus.

C. Psyche – Incorrect; the patient is calm and relaxed, which supports labor progression.

D. Passenger – Incorrect; the baby is in an optimal (ROA) position and at +1 station, indicating normal progression.

A. Misoprostol B. Oxytocin C. A barbiturate D. Fentanyl

Correct Answer is C

Explanation

A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.

B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.

C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.

D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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