A nurse is reading a Fetal monitor strip and notes accelerations. What interventions would the nurse anticipate to do next?
Nothing-this is a normal finding
Place patient on her left side
Give oxygen
Call provider
The Correct Answer is A
A. Nothing—this is a normal finding. Fetal heart rate accelerations are reassuring and indicate good fetal oxygenation and well-being. No intervention is needed.
B. Place patient on her left side. Changing position is an intervention for decelerations or abnormal fetal heart rate patterns, not for accelerations.
C. Give oxygen: Oxygen is administered in cases of fetal distress, such as prolonged decelerations or bradycardia, but not for normal accelerations.
D. Call provider. Accelerations are a positive sign, and there is no need to call the provider for this normal finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. None of the above: The evaluation of amniotic fluid is critical for assessing the health of the fetus and potential complications.
B. Location: The location of rupture is not a necessary part of the evaluation. The priority is assessing the fluid characteristics.
C. Amount: The amount of amniotic fluid can indicate whether there is oligohydramnios (low fluid) or polyhydramnios (excess fluid), which can affect labor and fetal health.
D. Odor: The odor of the amniotic fluid can suggest infection if it is foul-smelling, such as with chorioamnionitis.
E. Color: The color of amniotic fluid should be clear. If it is green or yellow, this can indicate the presence of meconium, which may cause complications during delivery.
Correct Answer is B
Explanation
A. Decreased maternal heart rate: Maternal heart rate usually stays the same or may increase slightly due to the physical exertion of labor, but it does not decrease as a sign of labor progression.
B. Increased intensity and frequency of contractions: The active phase of labor is characterized by more frequent and intense contractions that lead to continued cervical dilation and effacement.
C. Decreased cervical dilation: Cervical dilation increases during labor, particularly in the active phase. Decreased dilation is a sign of dysfunctional labor, not normal progress.
D. Decreased intensity and frequency of contractions: Decreasing contraction intensity and frequency would indicate a stall in labor or ineffective labor, not normal progress.
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