The nurse is caring for a client in labor and discovers late decelerations of the fetal heart rate.
What does the nurse know as the reason for this type of deceleration?

Uteroplacental insufficiency

Maternal hypotension

Cord compression

Head compression

Answer and Explanation

The Correct Answer is A

A.   Late decelerations are associated with uteroplacental insufficiency, indicating that the baby is not getting enough oxygen during contractions.
B.   Maternal hypotension can lead to decreased perfusion but is more likely associated with variable decelerations.
C.   Cord compression is often associated with variable decelerations, not late decelerations.

D. Head compression typically does not cause late decelerations; it may be associated with early decelerations.

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Correct Answer is B

Explanation

A. Client 4, who delivered 8 hours ago, having a fundus at the umbilicus is within the expected range for a client at this stage postpartum.
B. Client 2, two days postpartum with a fundus 2 cm above the umbilicus, is suggestive of uterine subinvolution, as the fundus should be descending, not rising, after delivery.
C. Client 1, three days postpartum with a fundus 3 cm below the umbilicus, is within the expected range for the postpartum period.
D. Client 3, one day postpartum with a fundus 1 cm below the umbilicus, is within the expected range for the postpartum period.

A. absent B. Minimal C. Marked D. Moderate

Correct Answer is D

Explanation

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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The nurse is caring for a client in labor and discovers late decelerations of the fetal heart rate. What does the nurse know as the reason for this type of deceleration?

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Correct Answer is B

Explanation

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

Correct Answer is D

Explanation

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The nurse is caring for a client in labor and discovers late decelerations of the fetal heart rate.
What does the nurse know as the reason for this type of deceleration?