The nurse is caring for a client in labor. Assessment findings: The fetal heart rate (FHR) baseline is 120 bpm The FHR begins slowing as the contraction starts, and is back to baseline at the end of the contraction There is moderate variability of the FHR Which periodic change will the nurse document in the electronic health record?

Late

Early

Acceleration

Variable

Answer and Explanation

The Correct Answer is B

A.   Late decelerations typically start after the contraction has reached its peak and return to baseline after the contraction ends, not during the contraction.
B.   Early decelerations coincide with the contraction and return to baseline by the end of the contraction. They are typically considered benign and related to head compression.
C.   Accelerations are brief increases in the FHR above the baseline and are usually associated with fetal movement.
D.   Variable decelerations are abrupt decreases in the FHR, often unrelated to contractions, and have an erratic pattern.

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Correct Answer is C

Explanation

A. While shape and height are important aspects, tone is also a key component in assessing the fundus after childbirth.
B. Position is part of the assessment, but the shape and tone are equally crucial components.

C. This choice correctly includes all the essential aspects of a fundal assessment: tone, shape, and position.
D. While shape and height are important, tone and position are equally vital components in assessing the fundus.

A. Carboprost (Hemabate) B. Hydralazine (Apresoline) C. Misoprostol (Cytotec) D. Methylergonovine (Methergine) E. Oxytocin (Pitocin)

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

Explanation

A. Carboprost (Hemabate) is a prostaglandin used to control postpartum hemorrhage.

B. Hydralazine is an antihypertensive medication, not typically used for postpartum hemorrhage.

C. Misoprostol (Cytotec) is a prostaglandin that can be used to prevent or treat postpartum hemorrhage.

D. Methylergonovine (Methergine) is an ergot alkaloid used to manage postpartum hemorrhage.

E. Oxytocin (Pitocin) is a uterotonic medication commonly used to prevent or treat postpartum hemorrhage.

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Naxlex Comprehensive Predictor Exams

The nurse is completing a fundal assessment for her postpartum clients today. What will the nurse determine when assessing the fundus?

Correct Answer is C

Explanation

A nurse is providing care for a client experiencing postpartum hemorrhage. Which medications may be prescribed by the provider? Select all that apply.

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

Explanation

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

The nurse is caring for a client in labor receiving oxytocin. The client asks the nurse, "What is this medication for?" What is the best response by the nurse?

The nurse is caring for a client in labor. Which assessment finding will the nurse report to the charge nurse immediately?

The nurse is caring for a laboring client. The nurse observes that there are variable decelerations. What is the nurse's priority action?

The nurse is caring for a client during a vaginal exam by the provider. The provider informs the client that he will use the most common mechanical method to ripen her cervix prior to induction of labor. What is the method being used by the provider?

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?