The nurse is caring for a laboring client with early decelerations and a fetal heart rate baseline of 130 with moderate variability. What will the nurse do for this client?

Notify the charge nurse to perform a vaginal exam

Promptly inform the primary care provider

Continue to monitor the client and the fetal heart rate

Reposition the client to the left side

Answer and Explanation

The Correct Answer is C

A.   Early decelerations are generally considered benign and not an indication for a vaginal exam unless other concerning factors are present.
B.   Promptly informing the primary care provider may not be necessary for early decelerations, which are often a normal response to head compression.
C.   Continuous monitoring and observation of the client and fetal heart rate are appropriate for early decelerations, especially when the baseline is reassuring and there is moderate variability.
D.   Repositioning the client to the left side is a general measure for optimizing fetal oxygenation, but it may not be the priority in the case of early decelerations, which are usually benign and
related to head compression.

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Correct Answer is C

Explanation

A. Low forceps and mid-forceps deliveries are not typically chosen for clients with active genital herpes due to the risk of exposing the baby to the virus during passage through the birth canal.
B. While vaginal birth is the preferred mode of delivery in many cases, active genital herpes may increase the risk of neonatal transmission, and a cesarean section may be recommended to reduce this risk.
C. Cesarean section is often recommended for clients with active genital herpes to minimize the risk of neonatal transmission, especially if lesions are present at the time of delivery.
D. Mid-forceps delivery is not typically chosen for clients with active genital herpes due to the risk of exposing the baby to the virus during passage through the birth canal.

A. Shape, tone and height B. Tone, position and height C. Tone, shape and position D. Shape, height and position

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.

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The nurse is caring for a laboring client with early decelerations and a fetal heart rate baseline of 130 with moderate variability. What will the nurse do for this client?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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