A nurse receives a report about a client who is in labor and is having contractions 3 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
Contractions that last for 60 seconds each with a 2-min rest between contractions
Contractions that last for 60 seconds each with a 3-min rest between contractions
A contraction that lasts 3 min followed by a period of relaxation
Contractions that last 45 seconds each with a 2-min rest between contractions
The Correct Answer is A
A. Contractions that last for 60 seconds each with a 2-min rest between contractions. If contractions are 3 minutes apart, this means the interval from the start of one contraction to the start of the next is 3 minutes. If each contraction lasts for 60 seconds, there will be a 2-minute rest period before the next contraction begins.
B. Contractions that last for 60 seconds each with a 3-min rest between contractions. This would indicate contractions occurring every 4 minutes, not every 3 minutes.
C. A contraction that lasts 3 min followed by a period of relaxation. A contraction lasting 3 minutes is abnormal and suggests uterine tachysystole, which can be dangerous.
D. Contractions that last 45 seconds each with a 2-min rest between contractions. If contractions last 45 seconds, the remaining rest period would be 2 min 15 sec, not exactly 2 minutes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Fetal breathing: Fetal breathing movements are assessed as part of the BPP, which evaluates fetal well-being.
B. Fetal motion: Fetal movements, including limb and body movements, are an essential component of the BPP.
C. Amniotic fluid volume: The amount of amniotic fluid is measured to assess fetal hydration and placental function.
D. Fetal gender: The BPP does not assess fetal gender; it focuses on fetal well-being rather than genetic characteristics.
E. Fetal neck translucency: Nuchal translucency (fetal neck thickness) is assessed during first-trimester ultrasound screening for chromosomal abnormalities, not during a BPP.
Correct Answer is D
Explanation
A. Increase the rate of maintenance IV infusion. Increasing IV fluids may help improve placental perfusion, but it is not the first action. Repositioning the client takes priority to improve blood flow before considering IV adjustments.
B. Administer oxygen using a nonrebreather mask. Oxygen is beneficial in improving fetal oxygenation, but positioning the client laterally should be done first to optimize blood flow before oxygen administration.
C. Elevate the client’s legs. Elevating the legs may be helpful in cases of hypotension, but this scenario describes late decelerations, which are related to uteroplacental insufficiency.
D. Place the client in the lateral position. Late decelerations are caused by uteroplacental insufficiency, leading to fetal hypoxia. The first action is to reposition the client to the lateral position, which improves blood flow to the placenta and enhances fetal oxygenation.
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