The fetal heart rate decelerates from baseline mirroring the uterine contractions and then returns to baseline by the end of the contraction. What action by the nurse is indicated?

Administer oxygen via mask

Reposition the woman

Document and continue monitoring

Apply a fetal scalp electrode.

Answer and Explanation

The Correct Answer is C

A. Administering oxygen via mask is indicated when there is concern for fetal hypoxia, such as late decelerations or variable decelerations.

B. Repositioning the woman may be appropriate if fetal heart rate patterns are concerning, but in this case, the decelerations are likely to be normal variable decelerations.

C. This is a pattern of early decelerations, which is typically benign and reflects fetal head compression. The appropriate action is to document and continue monitoring.

D. Applying a fetal scalp electrode is not indicated unless there is difficulty obtaining an accurate fetal heart rate on external monitoring.

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Correct Answer is C

Explanation

A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.

B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.

C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.

D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.

A. Kernicterus B. Physiologic jaundice C. Pathological Jaundice D. Erythroblastosis Fetalis

Correct Answer is B

Explanation

A. Kernicterus is a rare and severe form of jaundice-related brain damage, but it is not the typical type of jaundice diagnosed at 48 hours.

B. Physiologic jaundice is common in newborns and typically appears around 48 hours of life, usually resolving with simple interventions like frequent feedings and phototherapy.

C. Pathological jaundice occurs earlier than 48 hours and is often caused by blood group incompatibilities or other underlying health issues.

D. Erythroblastosis Fetalis is a severe form of jaundice due to Rh incompatibility, typically presenting in the first 24 hours and requiring more intensive treatment.

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The fetal heart rate decelerates from baseline mirroring the uterine contractions and then returns to baseline by the end of the contraction. What action by the nurse is indicated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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