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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. To determine the exact gestational age of the fetus. Gestational age is estimated via ultrasound and fundal height, not an NST.
B. To measure the amniotic fluid volume. Amniotic fluid volume is assessed with an ultrasound and amniotic fluid index (AFI), not an NST.
C. To confirm the presence of labor contractions. An NST does not confirm labor contractions; it evaluates fetal heart rate in response to fetal movement.
D. To assess fetal well-being in cases of suspected fetal growth restriction. An NST evaluates fetal oxygenation and well-being, making it useful in cases of intrauterine growth restriction (IUGR) or other concerns about fetal health.
Correct Answer is D
Explanation
A. Increase the client's IV fluid infusion rate. While increasing IV fluids can improve placental perfusion, the priority intervention for late decelerations is repositioning the client to relieve uteroplacental insufficiency.
B. Palpate the client's uterus. Uterine palpation helps assess for tachysystole (excessive contractions), which could contribute to late decelerations. However, this is not the priority intervention.
C. Administer oxygen to the client. Oxygen administration (8-10 L/min via face mask) improves fetal oxygenation, but repositioning the client should be done first to relieve pressure on the placenta.
D. Turn the client onto her side. Repositioning the client to the left or right lateral position improves uteroplacental circulation and reduces compression of the inferior vena cava, increasing blood flow to the fetus.
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