A nurse is monitoring a client who is in the active phase of labor and has an electronic fetal monitor.Which of the following findings should the nurse expect?
Uterine contractions every 15 min.
FHR baseline 166/min with minimal variability.
Late decelerations in FHR.
Contraction duration of 75 seconds.
The Correct Answer is D
Choice A rationale
Uterine contractions occur more frequently than every 15 minutes during the active phase of labor, typically every 2-3 minutes.
Choice B rationale
A fetal heart rate baseline of 166/min is considered tachycardia and may not be normal during labor.
Choice C rationale
Late decelerations are concerning and not expected as they may indicate fetal distress.
Choice D rationale
Contractions lasting about 75 seconds are expected during the active phase of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A positive finding for galactosemia, not PKU, indicates the inability to metabolize galactose. Galactosemia is a different metabolic disorder that requires a separate dietary intervention.
Choice B rationale
A positive PKU test does not indicate slow metabolism. Instead, it signifies the inability to metabolize phenylalanine, an amino acid.
Choice C rationale
Phenylketonuria (PKU) is a genetic disorder that leads to the inability to break down the amino acid phenylalanine. Without proper management, it can accumulate in the body and cause brain damage and other health issues.
Choice D rationale
A positive PKU test is not directly linked to an increased risk for neurological anomalies in general. The specific issue in PKU is the inability to metabolize certain amino acids, primarily phenylalanine, which can cause neurological damage if untreated. .
Correct Answer is []
Explanation
The client is most likely experiencing an ectopic pregnancy. Here's why:
- Symptoms: The client presents with intermittent vaginal bleeding and dull left lower quadrant abdominal pain, which are common symptoms of an ectopic pregnancy.
- Physical Examination: Tenderness upon palpation in the left lower quadrant and an enlarged uterus consistent with 8 weeks of gestation are also indicative of an ectopic pregnancy.
Actions to Take
- Perform ultrasound: To confirm the diagnosis and locate the ectopic pregnancy.
- Administer IV fluids: To stabilize the client and prepare for potential surgical intervention.
Parameters to Monitor
- Vaginal bleeding: To assess the severity and progression of the bleeding.
- Blood pressure: To monitor for signs of internal bleeding or hemodynamic instability.
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