Select the four criteria below that would indicate a category 3 fetal monitor strip.
Tachysystole
Tachycardia with minimal variability
Late decelerations with absent variability
Sinusoidal Pattern
Absent variability with no periodic changes
Bradycardia with absent variability
Late decelerations with moderate variability
Variable decelerations with absent variability
Correct Answer : A,C,D,F
A. Tachysystole refers to excessive uterine contractions, which can cause fetal distress and indicates a category 3 strip.
B. Tachycardia with minimal variability does not qualify as a category 3 pattern; it is concerning but not as severe as category 3.
C. Late decelerations with absent variability are highly concerning for fetal compromise, making the strip category 3.
D. A sinusoidal pattern indicates severe fetal distress and categorizes the strip as category 3.
E. Absent variability with no periodic changes may suggest a non-reassuring pattern but is not categorized as a category 3 strip unless other signs of fetal distress are present.
F. Bradycardia with absent variability is another critical pattern, indicating poor fetal oxygenation and requiring intervention, categorizing it as a category 3 strip.
G. Late decelerations with moderate variability indicate a category 2 strip, not category 3.
H. Variable decelerations with absent variability can be concerning, but it doesn't automatically classify as category 3 without further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tubal damage from hyperglycemia: Hyperglycemia, often seen in diabetes, can affect reproductive health but is more commonly associated with issues like poor implantation or uterine environment rather than direct tubal damage.
B. Tubal damage from migraine headaches: Migraine headaches do not cause direct tubal damage or infertility. They may impact overall health and stress levels but are not linked to structural damage in the reproductive tract.
C. Tubal damage from fibromyalgia: Fibromyalgia is a chronic condition causing widespread pain and fatigue but does not directly cause tubal damage.
D. Tubal damage from PID: Pelvic inflammatory disease is a leading cause of infertility due to the inflammation and scarring it can cause in the fallopian tubes, which can block or damage them, preventing fertilization.
Correct Answer is A
Explanation
A. Scarring or malformation of the fallopian tube increases the risk of an ectopic pregnancy. This condition can prevent the fertilized egg from traveling properly to the uterus, leading to implantation in the fallopian tube.
B. Urinary tract infections are not directly related to malformation or scarring of the fallopian tubes.
C. Decreased estrogen levels are not directly caused by fallopian tube scarring.
D. Early menopause is unrelated to fallopian tube scarring, which typically affects fertility but not directly menopause onset.
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