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","C","D"]

Explanation

Choice A rationale
Pitocin is used for augmentation of labor to increase uterine contractions' frequency and strength, enhancing labor progression in cases where labor is slow or stalled.
Choice B rationale
Pitocin does not increase prolactin receptor sites; instead, it focuses on enhancing uterine contractions during labor and addressing postpartum hemorrhage.
Choice C rationale
Pitocin is used for induction of labor to stimulate uterine contractions and initiate labor in women who need medical intervention for various reasons.
Choice D rationale
Pitocin helps decrease bleeding after delivery by promoting uterine contractions, which aid in reducing postpartum hemorrhage and expelling the placenta.

A. The bacteria cause perineal sepsis. B. The client is at risk for chorioamnionitis. C. The bacteria are sexually transmitted. D. The baby is at high risk for neonatal sepsis.

Correct Answer is D

Explanation

Choice A rationale
Group B Streptococcus (GBS) is not typically associated with perineal sepsis; rather, it is a bacterium that colonizes the gastrointestinal and genitourinary tracts.
Choice B rationale
While GBS colonization can pose risks, chorioamnionitis is a different infection involving the membranes and amniotic fluid, often caused by a variety of microorganisms, not solely GBS.
Choice C rationale
GBS is not primarily sexually transmitted; it is a bacterium naturally present in the genital and digestive tracts, and colonization can occur without sexual contact.
Choice D rationale
Neonatal sepsis is a serious risk for babies born to mothers colonized with GBS, necessitating antibiotic prophylaxis to prevent transmission and subsequent infection in the newborn.

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The fetal monitor tracing shown is associated with:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

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

Explanation

A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes. The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation. Which of the following is a rationale for this order?

Correct Answer is D

Explanation

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

The nurse is caring for a laboring woman, G3 P2, who was examined 15 minutes ago. Her cervix was 8 cm dilated and 90% effaced. She now states she is feeling strong pressure in her rectum and wants to move her bowels. Which of the following action should the nurse perform first?

The nurse places a Toco (tocodynamometer) on a client admitted in early labor. The nurse explains to the client that this device provides an accurate assessment of which of the following:

The client has been having contractions every 5 minutes for 7 hours. Which factor would the nurse use to determine if this is true labor?

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:

The most common cause of decreased variability in the FHR that lasts 20 minutes or less is:

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