The fetal monitor tracing shown is associated with:

Placental insufficiency.

Abruption.

Head compression.

Cord compression.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Placental insufficiency can cause late decelerations in fetal heart rate due to decreased blood flow, but it typically shows a gradual decrease rather than the abrupt patterns seen here.
Choice B rationale
Abruption usually presents with painful vaginal bleeding and a tender uterus, rather than specific changes in fetal heart rate patterns like those described in the question.
Choice C rationale
Head compression results in early decelerations, which appear as a mirror image of contractions, but these are not sudden drops in heart rate typically seen in cord compression.
Choice D rationale
Cord compression leads to variable decelerations characterized by sudden drops in fetal heart rate, caused by temporary reduction in oxygen flow to the fetus. This matches the tracing pattern described.

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Correct Answer is ["A","D","E"]

Explanation

Choice A rationale
Human chorionic gonadotropin (hCG) maintains the corpus luteum, ensuring the continued production of progesterone and estrogen, which are crucial for maintaining pregnancy.
Choice B rationale
Testosterone is not produced by the placenta during pregnancy, but is rather a male sex hormone produced primarily by the testes in males and small amounts by the ovaries in females.
Choice C rationale
Insulin is not produced by the placenta; it is a hormone produced by the pancreas that regulates blood glucose levels in the mother's body during pregnancy.
Choice D rationale
Estrogen produced by the placenta stimulates the growth of the uterus and helps regulate various functions essential for a healthy pregnancy.
Choice E rationale
Progesterone produced by the placenta helps maintain the uterine lining, reduces uterine contractions, and supports a favorable environment for fetal development throughout pregnancy.

A. I will go to the clinic to get my rubella shot today. B. I will wait until after I have my baby to get my rubella shot. C. I had my Tdap shot with my last baby 2 years ago, I do not need another now. D. I will hold off on my flu shot this year.

Correct Answer is B

Explanation

Choice A rationale
Rubella vaccination is contraindicated during pregnancy due to the live virus, which poses a risk to the fetus. Administration should occur postpartum to avoid congenital rubella syndrome in the infant.
Choice B rationale
This statement is correct as rubella vaccination should be deferred until after delivery. It avoids exposure to the live virus during pregnancy, protecting fetal health.
Choice C rationale
The Tdap vaccine is recommended during each pregnancy, typically between 27 and 36 weeks gestation, to boost maternal antibodies and provide passive immunity to the newborn.
Choice D rationale
The flu vaccine is recommended during pregnancy to protect both the mother and the baby from influenza. It reduces the risk of severe illness and complications from the flu.

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The fetal monitor tracing shown is associated with:

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Naxlex Comprehensive Predictor Exams

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply)

Correct Answer is ["A","D","E"]

Explanation

The nurse is discussing a patient’s vaccination history at her 32-week gestation appointment. The nurse knows that her teaching has been effective when the patient states:

Correct Answer is B

Explanation

The nurse caring for the laboring woman should understand that early decelerations are caused by:

Which occurrence is related to cervical dilation and effacement?

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

Which factor would alert the nurse that a pregnant woman is at risk for the development of toxoplasmosis?

The fetal monitor tracing shown is associated with:

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse would tell her:

This procedure allows us to identify fetal lie, presentation, and engagement: