A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD).

Which of the following findings should the nurse expect to see in the record?

Gestational diabetes mellitus

Polyhydramnios

Macrosomic fetus

Breech presentation.

Answer and Explanation

The Correct Answer is C

A macrosomic fetus is a fetus that is larger than average, usually weighing more than 4 kg or 8.8 lb at birth. A large fetus can cause cephalopelvic disproportion (CPD), which is a condition where the baby’s head does not fit through the mother’s pelvis during labor. CPD can lead to prolonged or obstructed labor, which can endanger both the mother and the baby.

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Correct Answer is C

Explanation

This is a condition where fetal blood vessels that run through the membranes rupture and bleed.

The bleeding is from the fetus, not the mother, and can cause fetal hypoxia and death.

The FHR deceleration indicates fetal distress.

The uterus is soft because there is no uterine bleeding or contraction.

Normal ranges for FHR are 110 to 160 beats per minute.

Normal ranges for uterine contraction frequency are 2 to 5 contractions in 10 minutes.

Normal ranges for uterine contraction duration are 45 to 80 seconds.

Normal ranges for uterine contraction intensity are mild to moderate to palpation

A. Apply suprapubic pressure B. Instruct the client to push with contractions C. Assist the provider with McRoberts maneuver D. Perform fundal massage E. Administer oxygen via face mask.

Correct Answer is ["A","C"]

Explanation

Applying suprapubic pressure and assisting the provider with McRoberts maneuver are two nursing interventions that can help dislodge the impacted shoulder and facilitate the delivery of the baby.

Normal ranges for fetal heart rate are 110 to 160 beats per minute, and for maternal blood pressure are 110/70 to 140/90 mm Hg.

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A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD). Which of the following findings should the nurse expect to see in the record?

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Naxlex Comprehensive Predictor Exams

A gush of blood is noted with the rupture of membranes. On palpation, the uterus is soft (i.e., relaxed) and the patient is not reporting any pain. An FHR deceleration down to 90 bpm is noted. What does the nurse suspect has happened?

Correct Answer is C

Explanation

A nurse is caring for a client who is in active labor and experiencing shoulder dystocia. Which of the following actions should the nurse take? (Select all that apply.).

Correct Answer is ["A","C"]

Explanation

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A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD). Which of the following findings should the nurse expect to see in the record?

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A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD).

Which of the following findings should the nurse expect to see in the record?