The nurse is caring for a client in labor at term. The nurse reviews the external monitor tracing below. The nurse identifies that the deceleration pattern seen indicates which of the following?
Cord compression.
Head compression.
Placental insufficiency.
Reactive NST.
The Correct Answer is B
Choice A rationale
Cord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.
Choice B rationale
Head compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.
Choice C rationale
Placental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.
Choice D rationale
Reactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Cord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.
Choice B rationale
Head compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.
Choice C rationale
Placental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.
Choice D rationale
Reactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Intrauterine growth restriction (IUGR) is an indication for a contraction stress test. It assesses fetal response to uterine contractions, identifying potential placental insufficiency.
Choice B rationale
A normal biophysical profile indicates no need for a contraction stress test. It assesses fetal well-being, and normal results suggest no immediate concerns.
Choice C rationale
Placental abruption is a contraindication for a contraction stress test. Inducing contractions can exacerbate placental separation, risking maternal and fetal health.
Choice D rationale
Decreased fetal movements warrant a contraction stress test. It evaluates fetal response to contractions, detecting possible hypoxia or compromised fetal condition.
Choice E rationale
Post-term pregnancy (>42 weeks) is an indication for a contraction stress test. It assesses placental function and fetal well-being as prolonged gestation increases risks.
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