A nurse is walking by a client's room and can hear the fetal heart rate dropping.
The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

Uteroplacental insufficiency.

Umbilical cord compression.

Maternal bradycardia.

Fetal head compression.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Uteroplacental insufficiency typically results in late decelerations, not a sudden drop in fetal heart rate, which is more commonly caused by umbilical cord compression.

Choice B rationale

Umbilical cord compression can cause variable decelerations, which are characterized by a sudden drop in fetal heart rate. This occurs due to the umbilical cord being compressed, leading to decreased blood flow and oxygen to the fetus.

Choice C rationale

Maternal bradycardia refers to a slow maternal heart rate and does not directly cause changes in the fetal heart rate pattern.

Choice D rationale

Fetal head compression typically causes early decelerations, which are gradual decreases in fetal heart rate that occur with contractions and are usually benign.

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Correct Answer is C

Explanation

Choice A rationale

Clapping hands to assess hearing is not a reliable method and could startle the baby for reasons unrelated to hearing ability.

Choice B rationale

While a newborn might respond to visual stimuli, this is not a definitive method to assess hearing.

Choice C rationale

Routine hearing screenings using objective tests are the best way to determine a newborn's hearing ability, providing accurate and early detection of potential hearing issues.

Choice D rationale

This statement is misleading, as some forms of hearing loss can be inherited. It's important to use accurate methods to assess newborn hearing.

A. Uteroplacental insufficiency. B. Umbilical cord compression. C. Maternal bradycardia. D. Fetal head compression.

Correct Answer is A

Explanation

Choice A rationale

Uteroplacental insufficiency leads to late decelerations, which are characterized by a gradual decrease in fetal heart rate after the peak of a contraction. This indicates compromised blood flow between the uterus and placenta, affecting the fetus.

Choice B rationale

Umbilical cord compression usually causes variable decelerations, not late decelerations.

Choice C rationale

Maternal bradycardia does not cause changes in fetal heart rate patterns like late decelerations.

Choice D rationale

Fetal head compression causes early decelerations, which coincide with contractions, not late decelerations.

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A nurse is walking by a client's room and can hear the fetal heart rate dropping.The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

A nurse is walking by a client's room and can hear the fetal heart rate dropping.The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

Correct Answer is A

Explanation

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A nurse is walking by a client's room and can hear the fetal heart rate dropping.
The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?