What is the primary purpose of assessing fetal heart rate patterns during labor and delivery?
To identify the mother's risk for complications
To monitor the baby's oxygenation and overall well-being
To predict the baby's birth weight
To determine the baby's gender
The Correct Answer is B
A. To identify the mother's risk for complications. While maternal complications may indirectly affect the fetus, fetal heart rate monitoring is focused on the baby’s well-being.
B. To monitor the baby's oxygenation and overall well-being. Fetal heart rate monitoring primarily assesses the baby’s oxygenation and detects signs of distress (e.g., bradycardia or tachycardia).
C. To predict the baby's birth weight. Fetal heart rate monitoring does not predict birth weight.
D. To determine the baby's gender. Fetal heart rate monitoring cannot determine the baby’s gender.
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Related Questions
Correct Answer is A
Explanation
A. Nothing—this is a normal finding. Fetal heart rate accelerations are reassuring and indicate good fetal oxygenation and well-being. No intervention is needed.
B. Place patient on her left side. Changing position is an intervention for decelerations or abnormal fetal heart rate patterns, not for accelerations.
C. Give oxygen: Oxygen is administered in cases of fetal distress, such as prolonged decelerations or bradycardia, but not for normal accelerations.
D. Call provider. Accelerations are a positive sign, and there is no need to call the provider for this normal finding.
Correct Answer is D
Explanation
A. "You will have a weight gain of 0.5 to 1.5 kilograms." Weight loss of around 0.5 to 1.5 kg (1-3 lbs) due to hormonal changes and fluid shifts is common before labor, not weight gain.
B. "You will have a decrease in vaginal discharge." There is typically an increase in vaginal discharge, known as the "bloody show," as the cervix prepares for labor.
C. "You will experience urinary retention." Increased pressure on the bladder due to the baby's descent into the pelvis usually causes increased urinary frequency, not retention.
D. "You will experience a surge of energy." Many women experience a "nesting" instinct or surge of energy in the days before labor, which is a common sign that labor is approaching.
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