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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Duration: Duration refers to how long a single contraction lasts from start to finish, not the time between contractions.

B. Acme: Acme refers to the peak of the contraction, not the time between contractions.

C. Frequency: Frequency refers to the time from the beginning of one contraction to the beginning of the next contraction.

D. Onset: Onset refers to the start of an individual contraction, not the interval between contractions.

A. "This is a cephalhematoma, which will resolve on its own in 3 to 5 days." B. "This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor." C. "This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin." D. "This is a Mongolian spot, which is found on many newborns."

Correct Answer is B

Explanation

A. "This is a cephalhematoma, which will resolve on its own in 3 to 5 days." A cephalhematoma is a collection of blood between the skull bone and periosteum, and it does not cross suture lines. Caput succedaneum, on the other hand, does cross suture lines.

B. "This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor." Caput succedaneum is swelling of the soft tissues of the scalp caused by pressure during birth, especially with vacuum extraction, and it crosses suture lines.

C. "This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin." Erythema toxicum is a common newborn rash, but it does not cause swelling on the head or cross suture lines.

D. "This is a Mongolian spot, which is found on many newborns." Mongolian spots are bluish-gray marks usually found on the lower back or buttocks, not on the head, and they are not related to vacuum extraction or swelling.

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A nurse is reading a Fetal monitor strip and notes accelerations. What interventions would the nurse anticipate to do next?

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Naxlex Comprehensive Predictor Exams

What is measured from the beginning of one contraction to the beginning of the next contraction?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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