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 ["A","B","D"]
Explanation
A. Create a warm relaxing environment: A warm and relaxing environment can help reduce stress and anxiety, contributing to pain relief during labor.
B. Administering sacral counterpressure: Sacral counterpressure, where pressure is applied to the lower back, is a non-pharmacological method used to relieve labor pain, particularly during back labor.
C. Epidural injection: An epidural injection is a pharmacological pain management technique, as it involves the administration of anesthetic drugs.
D. Effleurage: Effleurage is a light, circular massage technique that helps distract the mother from contraction pain, making it a non-pharmacological pain relief method.
Correct Answer is B
Explanation
A. Not satisfied with the nonpharmacological comfort measures. This describes dissatisfaction with pain management but does not specifically indicate a change in labor phase.
B. Active phase of labor. Nausea, irritability, and feelings of helplessness are classic signs of transitioning from the latent phase to the active phase of labor, when contractions become stronger and more intense.
C. Going to require more pain medication: Although the patient may need additional pain relief, the question is asking about labor progression, not pain management.
D. Going to have a long labor. Irritability and nausea are signs of labor progression, not necessarily an indicator of a long labor.
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