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Exhibits

The nurse reviews the client data.

Drag the Word Choices to complete the sentence.

Abnormal FHR patterns can result in

, and.
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D","dropdown-group-3":"D"}

Rationale for Correct Choices:

  • Hypoxia: Abnormal fetal heart rate (FHR) patterns, especially decelerations, suggest that the fetus may not be receiving enough oxygen, leading to hypoxia. This condition requires prompt intervention to improve fetal oxygenation.
  • Hypoxemia: Similar to hypoxia, hypoxemia refers to a low level of oxygen in the blood. If the abnormal FHR patterns continue, they may indicate that the fetus is not getting enough oxygen, leading to hypoxemia, which can result in further complications.
  • Acidemia: A lack of oxygen (hypoxia and hypoxemia) can lead to acidemia, where there is an increase in the acidity of the fetal blood. This occurs when the fetus begins to build up metabolic acids, a sign of inadequate oxygenation and the body's inability to maintain proper pH balance.

Rationale for Incorrect Choices:

  • Maternal hypotension: While maternal hypotension can affect fetal heart rate, it is not directly related to abnormal FHR patterns unless the hypotension is severe. The patient data provided does not indicate that maternal hypotension is the cause of the abnormal FHR pattern in this case.
  • Hypoglycemia: While hypoglycemia can cause fetal distress, it is less likely to result in the specific FHR pattern here (decelerations). The cause of the decelerations appears to be more related to oxygenation issues rather than glucose imbalance.
  • Meconium stool: Meconium passage can be a sign of fetal distress, but it is not a direct consequence of abnormal FHR patterns. The focus here is on the potential for oxygen deprivation and metabolic disturbances like acidemia and hypoxia.


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Related Questions

Correct Answer is C

Explanation

A. A primiparous adolescent living at home with her parents and significant other: While being a young, first-time mother may pose challenges, the support system of living with parents and a significant other may help mitigate psychological risks.

B. A multiparous female with a large family living in the community: A woman with multiple children and a support system in the community is less likely to experience significant psychological difficulties, as she may be more experienced and have more resources to draw from.

C. A primiparous woman who has recently immigrated to the U.S. with her spouse: This woman is at high risk for psychological difficulties, such as postpartum depression, due to potential isolation, lack of support, cultural differences, and challenges adjusting to a new environment without an extended support network.

D. A multiparous client who lives with her husband and his family members: While living with extended family can sometimes present stress, this client has a support system, including both her husband and family members, which may help reduce the risk of psychological difficulties.

Correct Answer is ["75"]

Explanation

Calculation:

Desired dose per hour = 3 grams/hour.

Total medication in the IV bag = 20 grams.

Total volume of the IV bag = 500 mL.

  • Calculate the concentration of the magnesium sulfate solution in grams per milliliter (g/mL).

Concentration = Total medication (g) / Total volume (mL)

= 20 g / 500 mL

= 0.04 g/mL.

  • Calculate the infusion rate in milliliters per hour (mL/hr).

Infusion rate (mL/hr) = Desired dose per hour (g/hr) / Concentration (g/mL)

= 3 g/hr / 0.04 g/mL

= 75 mL/hr.

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