The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?

The fetus is in distress

The mother is in severe pain

Uteroplacental insufficiency

A well-oxygenated fetus

Answer and Explanation

The Correct Answer is D

A. The fetus is in distress: Fetal distress often presents as decelerations or an abnormal baseline heart rate, not accelerations.

B. The mother is in severe pain: Maternal pain does not cause fetal heart accelerations.

C. Uteroplacental insufficiency: This condition is associated with late decelerations, not accelerations.

D. A well-oxygenated fetus: FHR accelerations indicate adequate oxygenation and a reactive, healthy fetal status.

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Correct Answer is C

Explanation

A. “You will experience urinary retention.” Urinary frequency, not retention, is common due to fetal descent.

B. “You will have a decrease in vaginal discharge.” Vaginal discharge increases due to cervical changes.

C. “You will experience a surge of energy.” Known as "nesting," this is a common pre-labor symptom.

D. “You will have a weight gain of 0.5 to 1.5 kilograms.” A slight weight loss is typical before labor due to hormonal shifts.

A. Contraction resting period 35 seconds B. Four contractions in a 10-min period C. Contraction lasting 85 seconds D. Fetal heart rate 100/min for a 10-min period

Correct Answer is D

Explanation

A. Contraction resting period 35 seconds: A resting period of 35 seconds is within normal limits and allows uterine relaxation.

B. Four contractions in a 10-min period: This contraction frequency is normal for active labor.

C. Contraction lasting 85 seconds: A contraction duration of up to 90 seconds is typical in active labor, though the nurse should monitor for patterns of tachysystole.

D. Fetal heart rate 100/min for a 10-min period: A sustained FHR of 100/min is bradycardia and indicates fetal distress, requiring immediate evaluation and intervention.

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The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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