The nurse is assessing the fetal monitoring tracing below. Which type of fetal heart rate variability is pictured here in the top tracing?

absent

Minimal

Marked

Moderate

Answer and Explanation

The Correct Answer is D

A. Absent variations would show no detectable fluctuations in the fetal heart rate.

B.   Minimal variability would show minimal fluctuations in the fetal heart rate, with an amplitude range of less than 5 beats per minute.

C.   Marked variability would show wide and pronounced fluctuations in the fetal heart rate, with an amplitude range greater than 25 beats per minute.
D.   Fluctuations in the fetal heart rate are within a moderate range, between 6 and 25 beats per minute.

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

Explanation

A. Cervical dilation of 5 cm typically indicates the active phase rather than the latent phase of the first stage of labor.

B. Cervical effacement of 50% is consistent with the latent phase, where cervical effacement is a prominent feature.
C. Contractions lasting about 30 to 45 seconds are characteristic of the latent phase.

D. Moderate contraction intensity is more typical of the active phase of the first stage of labor.

E. Contractions occurring every 5 to 10 minutes are consistent with the latent phase, where contractions are typically less frequent than in the active phase.

A. Place client on her left side B. Notify RN immediately C. Document the time and color of fluid D. Check fetal heart tones

Correct Answer is B

Explanation

A. Placing the client on her left side is important for optimizing fetal oxygenation but is not the first action when there is a report of a gush of fluid.
B. Notifying the registered nurse (RN) immediately is the first action to ensure prompt assessment and appropriate interventions for possible ruptured membranes.
C. Documenting the time and color of the fluid is important, but immediate notification of the RN takes precedence.
D. Checking fetal heart tones is important but should be done in conjunction with notifying the RN to assess the overall situation and determine the appropriate course of action.

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The nurse is assessing the fetal monitoring tracing below. Which type of fetal heart rate variability is pictured here in the top tracing?

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Naxlex Comprehensive Predictor Exams

The nurse is admitting a pregnant client into the labor and delivery unit. Which findings indicate the client is in the latent phase of the first stage of labor? Select all that apply.

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

Explanation

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Correct Answer is B

Explanation

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