Abnormal FHR patterns can result in which condition?

Acidemia.

Hypoxia.

Hypoglycemia.

Meconium stool.

Maternal hypotension.

Answer and Explanation

Correct Answer : A,B,D,E

Choice A rationale

Acidemia in the fetus can result from abnormal fetal heart rate (FHR) patterns. It is indicative of hypoxia and inadequate oxygenation, leading to anaerobic metabolism and accumulation of lactic acid in fetal tissues.

Choice B rationale

Hypoxia can occur due to abnormal FHR patterns. Hypoxia results from insufficient oxygen supply to the fetus, which can lead to metabolic acidosis, impaired organ function, and potential long-term developmental issues.

Choice C rationale

Hypoglycemia is not directly related to abnormal FHR patterns. It is primarily associated with metabolic disturbances such as inadequate glucose supply or insulin regulation in the neonate or fetus.

Choice D rationale

Meconium stool passage can result from fetal hypoxia due to abnormal FHR patterns. Hypoxia increases gastrointestinal peristalsis, leading to the release of meconium into the amniotic fluid, which poses a risk for aspiration.

Choice E rationale

Maternal hypotension can lead to abnormal FHR patterns. Hypotension reduces uteroplacental blood flow, leading to fetal hypoxia and compromised oxygen delivery to the fetus, which can result in fetal distress.

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Correct Answer is C

Explanation

Choice A rationale

The obstetrician follow-up appointment is typically scheduled at 6 weeks postpartum, not 8 weeks. Accurate timing of follow-up visits is crucial for monitoring the mother's health and recovery.

Choice B rationale

While abstaining from sexual activities postpartum is generally advised, it is usually recommended until the 6-week follow-up appointment, not specified by the obstetrician's discretion.

Choice C rationale

Contacting the pediatrician if the baby is not breastfeeding well or has fewer wet diapers and stools is critical for early detection of feeding issues, dehydration, or other health concerns.

Choice D rationale

A lactation nurse visit is beneficial for breastfeeding support but does not cover the broader scope of postpartum care and monitoring the newborn's health. Comprehensive instructions are essential for new mothers.

A. Improve insufficient dietary intake. B. Stimulate the immune system. C. Prevent hemorrhagic disorders. D. Help an immature liver.

Correct Answer is C

Explanation

Choice A rationale

Phytonadione (vitamin K1) is not administered to improve dietary intake. Newborns receive it to prevent vitamin K deficiency bleeding, as they have low levels of vitamin K at birth due to limited placental transfer.

Choice B rationale

Phytonadione does not stimulate the immune system. It is a fat-soluble vitamin essential for the synthesis of clotting factors, which prevents bleeding disorders in newborns.

Choice C rationale

Newborns are given phytonadione to prevent hemorrhagic disorders, which can occur due to their immature liver's inability to produce sufficient clotting factors without adequate vitamin K.

Choice D rationale

While phytonadione supports liver function indirectly by aiding clotting factor synthesis, its primary role is to prevent hemorrhagic disease of the newborn, not directly to help an immature liver develop.

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Abnormal FHR patterns can result in which condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What instructions should the nurse provide to a new mother regarding postpartum care and monitoring the newborn’s health?

Correct Answer is C

Explanation

The nurse is preparing to administer phytonadione to a newborn. Which statement made by the parents indicates understanding why the nurse is administering this medication?

Correct Answer is C

Explanation

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