What could be the primary reason for early decelerations in the fetal heart rate (FHR) pattern?

Spontaneous rupture of membranes.

Uteroplacental insufficiency.

Altered fetal cerebral blood flow.

Umbilical cord compression.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Early decelerations in the fetal heart rate (FHR) are caused by compression of the fetus’s head during a uterine contraction. This often happens during later stages of labor as the baby is descending through the birth canal. They may also occur during early labor if the baby is premature or in a breech position. This causes the uterus to squeeze the head during contractions.
Choice B rationale
Uteroplacental insufficiency is a condition where the placenta does not provide enough oxygen and nutrients to the fetus. This condition is typically associated with late decelerations in the FHR, not early decelerations.
Choice C rationale
Altered fetal cerebral blood flow is not typically associated with early decelerations in the FHR34.
Choice D rationale

Umbilical cord compression is typically associated with variable decelerations in the FHR, not early decelerations.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale
Inserting an indwelling urinary catheter is not the immediate next step. While it may be necessary in some cases, the priority is to address the client’s excessive bleeding, which is a sign of postpartum hemorrhage.
Choice B rationale
Administering oxytocin by continuous IV infusion is a common intervention for postpartum hemorrhage. However, it is not the immediate next step. The nurse should first attempt to massage the client’s fundus to promote contractions and control bleeding.
Choice C rationale
Massaging the client’s fundus is the correct next step. The client’s symptoms indicate postpartum hemorrhage, a serious condition that can lead to shock and other complications. Fundal massage often helps the uterus contract and can stop the bleeding.
Choice D rationale
Tilting the client onto her right side with her legs elevated to at least 30 degrees is not the immediate next step. This position can help improve venous return but does not directly address the cause of the client’s symptoms.

A. Expulsion of a blood-tinged mucous plug B. Pressure on the perineum causing the client to bear down C. Continuous contraction lasting 2 min D. Expulsion of clear fluid from the vagina

Correct Answer is C

Explanation

Continuous contractions lasting 2 minutes could indicate uterine tetany, which could lead to uterine rupture, a life-threatening situation that requires immediate medical attention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

What could be the primary reason for early decelerations in the fetal heart rate (FHR) pattern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor, which of the following assessment findings should the nurse report to the provider first?

Correct Answer is C

Explanation

A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro reflex, what action should the nurse take?

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

Select the 4 assessment findings the nurse should report to the provider. Exhibits A nurse in an antepartum clinic is caring for a client who is pregnant. Exhibits:

Which of the following findings should alert a nurse assessing a client who is 8 hr postpartum and multiparous?

A nurse is caring for a client who is 2 hours postpartum following a vaginal birth. Which of the following findings indicates the client’s bladder is distended?

The nurse is conducting a newborn assessment and identifies a collection of blood beneath the newborn’s scalp that does not cross the suture lines. How should the nurse document this finding?

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?

A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination.Which of the following actions should the nurse take?