The nurse is assessing a fetal heart rate tracing and notices a FHR of 155 bpm with moderate variability, accelerations, and early decelerations. The nurse will chart this a

Category 1 tracing

Category 2 tracing

Category 3 tracing

Category 4 tracing

Answer and Explanation

The Correct Answer is A

A. A Category 1 fetal heart rate tracing is considered normal, with a baseline FHR between 110-160 bpm, moderate variability, accelerations, and early decelerations, all of which are reassuring signs.

B. Category 2 tracings are indeterminate and would show a pattern of abnormal FHR, but not severe enough to be classified as Category 3.

C. Category 3 tracings are abnormal, characterized by absent variability and significant decelerations, suggesting fetal distress or other severe issues.

D. Category 4 is not a recognized category in fetal heart rate classification.

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Correct Answer is ["B","E","F"]

Explanation

A. The Glucose Tolerance Test is usually performed later in pregnancy (around 24-28 weeks) to screen for gestational diabetes, so it is not a primary concern at 12 weeks.

B. Given the patient's history of multiple partners and uncertainty about the father, HIV screening is important to prevent mother-to-child transmission and provide early treatment.

C. Urine glucose is typically monitored later in pregnancy for gestational diabetes, but it is not immediately prioritized based on this history.

D. The Rubella Titer is important, but it is less immediately critical than HIV, STDs, or toxoplasmosis, given the patient’s risks.

E. Toxoplasmosis screening is necessary because handling cat litter can expose the mother to the risk of toxoplasmosis, which can harm the fetus.

F. Vaginal cultures for STDs are important given the patient’s multiple partners, as untreated STDs can lead to complications like preterm birth or neonatal infections.

G. Maternal Serum Fetal Alphaprotein is typically used for screening for neural tube defects later in pregnancy and is not an immediate concern.

A. May 1 B. July 8 C. January 22 D. January 23

Correct Answer is C

Explanation

A. May 1 is not correct; this would be too early by several months.

B. July 8 is not correct; this date is too far out for the due date based on the LMP provided.

C. To calculate the due date using Naegele's rule, you add 7 days to the first day of the last menstrual period (LMP) and then subtract 3 months. Given: LMP: April 15th Step 1: Add 7 days to the LMP: April15th + 7 days= April 22nd Step 2: Subtract 3 months: April22nd – 3 months = January 22nd

D. January 22 is close but not the correct date by the standard calculation of 280 days.

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The nurse is assessing a fetal heart rate tracing and notices a FHR of 155 bpm with moderate variability, accelerations, and early decelerations. The nurse will chart this a

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","E","F"]

Explanation

The nurse working in the prenatal clinic has a patient who states her last menstrual period was April 15th. Using Nagelle's rule, what is her due date?

Correct Answer is C

Explanation

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