A woman is undergoing a nipple-stimulated contraction stress test (CST). She is having contractions that occur every 3 minutes (3/10). The fetal heart rate (FHR) has a baseline of approximately 130 beats/min with the decelerations happening after the mother's contractions, Nadirs happening at the end of the uterine contractions. The interpretation of this test is said to be
Select one:

Positive

Negative

Satisfactory

Reactive

Answer and Explanation

The Correct Answer is C

a.   A positive CST indicates late decelerations that persist in more than 50% of the contractions, which is not the case in this scenario.
b.   A negative CST indicates the absence of late decelerations, which is not the case in this scenario.
c.   A satisfactory CST indicates that there are no late decelerations, and the test is considered normal.
d.   Reactive is not a term used to interpret a CST.

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Correct Answer is D

Explanation

a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.

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

Correct Answer is C

Explanation

a. This is a common cause of early decelerations, not late decelerations.

b. This is not a cause of late decelerations.

c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

Correct Answer is D

Explanation

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

Correct Answer is C

Explanation

The nurse caring for the laboring woman should understand that early decelerations are caused by:

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

A nurse in a prenatal clinic is teaching a client who has a new prescription for Dinoprostone gel. Which of the following statements should the nurse include in the teaching? Select one:

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus, at the midline. The nurse should suspect that the fetus is in which of the following presentation?

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A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

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