A pregnant woman comes in for her weekly fetal heart monitoring.
She is 35 weeks’ gestation.
After 20 minutes on the monitor, the fetal heart rate tracing shows 3 accelerations measuring 15 beats by 15 seconds.
How should the nurse report this finding to the provider?
Positive contraction stress test (CST)
Reactive nonstress test (NST)
Negative contraction stress test (CST)
Non-reactive nonstress test (NST)
The Correct Answer is A
Choice A rationale:
A positive contraction stress test (CST) indicates that the fetal heart rate decelerates late in response to uterine contractions, suggesting potential uteroplacental insufficiency. However, the scenario does not describe a CST being performed, as it does not mention any assessment of uterine contractions or their relationship to fetal heart rate changes.
Choice C rationale:
A negative contraction stress test (CST) would demonstrate no late decelerations in response to contractions, suggesting adequate placental function. However, as mentioned earlier, a CST is not the test being performed in this scenario.
Choice D rationale:
A non-reactive nonstress test (NST) means that there were not enough fetal heart rate accelerations (at least 2, each lasting at least 15 seconds and peaking at least 15 beats above baseline) within a 20-minute period. This finding sometimes warrants further evaluation of fetal well-being. However, the scenario clearly states that 3 accelerations meeting the criteria for reactivity were observed.
Choice B rationale:
A reactive nonstress test (NST) is considered reassuring and indicates that the fetal heart rate is responding appropriately to fetal movement, suggesting that the fetus is likely healthy and well-oxygenated. The presence of 3 accelerations meeting the criteria for reactivity within a 20-minute period is the hallmark of a reactive NST.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Hispanic women: While Hispanic cultures often emphasize strength and resilience, their expression of pain during labor can vary significantly. Some may vocalize their pain while others may remain more stoic. It's important to avoid generalizations and assess each individual's preferences and needs.
Choice B rationale:
Chinese women: In traditional Chinese culture, stoicism in the face of pain is often valued. This may be rooted in Confucianism, which emphasizes self-control and endurance. Women may be less likely to express their pain during labor to avoid appearing weak or losing face. They may also believe that vocalizing pain could negatively impact the birthing process. However, as labor progresses, they may become more vocal and request pain relief.
Choice C rationale:
Caucasian/European women: Caucasian women exhibit diverse responses to labor pain, influenced by personal experiences, cultural beliefs, and social expectations. Some may express their pain openly, while others may prefer to manage it quietly. It's crucial to avoid stereotyping and provide individualized care.
Choice D rationale:
African-American women: African-American women often express their pain during labor more openly than some other cultural groups. This may be due to historical experiences of racism and discrimination in healthcare, leading to a distrust of medical professionals and a greater reliance on self-advocacy. They may also have a stronger sense of community and support networks that encourage open expression of pain.
Correct Answer is A
Explanation
Choice A rationale:
Genotype refers to the complete set of genetic instructions an individual inherits from their parents. It represents the actual genes present within an individual's cells, determining their traits and characteristics.
Genotype is the underlying genetic foundation that shapes an individual's phenotype, which is the observable expression of those genes.
Choice B rationale:
Chromotype is not a commonly used term in genetics. It may occasionally refer to the banding pattern observed on chromosomes during certain staining techniques, but it does not accurately represent an individual's complete genetic makeup.
Choice C rationale:
Phenotype refers to the observable physical or biochemical characteristics of an individual, such as eye color, height, blood type, or susceptibility to certain diseases. It is the result of the interaction between an individual's genotype and their environment.
While phenotype is influenced by genotype, it does not directly represent the underlying genetic code itself.
Choice D rationale:
Karyotype is a visual representation of an individual's chromosomes, arranged in pairs according to size and shape. It is often used to diagnose chromosomal abnormalities or genetic disorders, but it does not provide the full details of an individual's genetic makeup at the gene level.
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