The nurse observes a fetal heart rate pattern on the monitor: baseline 160 beats per minute with minimal variability, a decrease to 150 beats per minute beginning after the contraction starts and returns to baseline after the contraction ends. Which finding should the nurse document in the electronic medical record?
Variable decelerations.
Late decelerations.
No decelerations.
Early decelerations.
The Correct Answer is B
Choice A rationale
Variable decelerations are abrupt decreases in fetal heart rate, unrelated to contractions and typically caused by umbilical cord compression. The described pattern does not match these characteristics.
Choice B rationale
Late decelerations occur when there is a gradual decrease in fetal heart rate starting after the contraction begins and returning to baseline after the contraction ends, often indicating utero-placental insufficiency.
Choice C rationale
No decelerations are present when there are no decreases in fetal heart rate. The scenario described includes a specific pattern of decelerations, making this choice incorrect.
Choice D rationale
Early decelerations are a gradual decrease in fetal heart rate that mirrors the contraction pattern, often caused by head compression during contractions. The pattern described does not fit early decelerations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
The obstetrician follow-up appointment is typically scheduled at 6 weeks postpartum, not 8 weeks. Accurate timing of follow-up visits is crucial for monitoring the mother's health and recovery.
Choice B rationale
While abstaining from sexual activities postpartum is generally advised, it is usually recommended until the 6-week follow-up appointment, not specified by the obstetrician's discretion.
Choice C rationale
Contacting the pediatrician if the baby is not breastfeeding well or has fewer wet diapers and stools is critical for early detection of feeding issues, dehydration, or other health concerns.
Choice D rationale
A lactation nurse visit is beneficial for breastfeeding support but does not cover the broader scope of postpartum care and monitoring the newborn's health. Comprehensive instructions are essential for new mothers.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Routine pediatric check-ups typically occur 2–4 weeks after birth. This allows the pediatrician to monitor the baby's growth, development, and overall health, including weight gain and feeding patterns.
Choice B rationale
Home bilirubin lights are recommended for treating neonatal jaundice, a common condition in newborns. Bilirubin lights help lower bilirubin levels in the baby's blood, preventing potential complications like kernicterus.
Choice C rationale
Postpartum obstetrician appointments are usually scheduled 6–8 weeks after delivery to assess the mother's recovery, address any postpartum concerns, and provide guidance on contraception and future pregnancies.
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