During labor, which of the following is a characteristic of early decelerations in fetal heart rate?
Gradual decrease in FHR that mirrors uterine contractions
Abrupt decrease in FHR with rapid recovery
Increase in FHR of at least 15 beats lasting at least 15 seconds
Decrease in FHR after the peak of uterine contractions
The Correct Answer is A
A. Gradual decrease in FHR that mirrors uterine contractions. Early decelerations are caused by fetal head compression during contractions, leading to a gradual, uniform decrease in FHR that mirrors the contraction. This is a benign finding and does not require intervention.
B. Abrupt decrease in FHR with rapid recovery. This describes variable decelerations, which are caused by umbilical cord compression and require intervention.
C. Increase in FHR of at least 15 beats lasting at least 15 seconds. This describes accelerations, which are a reassuring sign of fetal well-being.
D. Decrease in FHR after the peak of uterine contractions. This describes late decelerations, which are associated with uteroplacental insufficiency and require intervention.
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Related Questions
Correct Answer is D
Explanation
A. Number of previous pregnancies: While previous pregnancies can influence labor speed (multiparous clients often progress faster), it is not the most critical factor in assessing labor progression.
B. Maternal age: Advanced maternal age may increase labor complications, but it does not directly determine labor progression.
C. Gestational weight gain: Excessive weight gain can impact fetal size, but it is not the primary factor affecting labor progression.
D. Fetal size: Fetal size plays a significant role in labor progression. A large fetus may cause cephalopelvic disproportion (CPD), leading to slow or arrested labor, whereas a smaller fetus may allow for quicker labor progression.
Correct Answer is C
Explanation
A. Late decelerations: Late decelerations are associated with uteroplacental insufficiency, not umbilical cord issues. They indicate decreased oxygenation to the fetus.
B. Accelerations: Accelerations are reassuring signs of fetal well-being and do not indicate any umbilical cord problems.
C. Variable decelerations: Variable decelerations are caused by umbilical cord compression, leading to abrupt drops in fetal heart rate. They can be mild or severe, requiring interventions such as maternal position changes or oxygen administration.
D. Early decelerations: Early decelerations are benign and occur due to fetal head compression during contractions. They are not associated with umbilical cord issues.
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