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","C","D"]
Explanation
A. The quality of the pain – Correct; describes how the pain feels (e.g., sharp, dull, cramping).
B. The client's allergies – Incorrect; allergies are important for medication safety, but they do not assess pain perception.
C. The location of the pain – Correct; helps determine if the pain is contraction-related or another issue.
D. The intensity of the pain – Correct; measured using a pain scale.
E. The client's family history of pain – Incorrect; individual perception of pain is more relevant than family history.
F. The client's blood pressure – Incorrect; BP is monitored in labor but is not part of pain perception assessment.
Correct Answer is C
Explanation
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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