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

Answer and Explanation

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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Correct Answer is ["C","D","E"]

Explanation

A. None of the above: The evaluation of amniotic fluid is critical for assessing the health of the fetus and potential complications.

B. Location: The location of rupture is not a necessary part of the evaluation. The priority is assessing the fluid characteristics.

C. Amount: The amount of amniotic fluid can indicate whether there is oligohydramnios (low fluid) or polyhydramnios (excess fluid), which can affect labor and fetal health.

D. Odor: The odor of the amniotic fluid can suggest infection if it is foul-smelling, such as with chorioamnionitis.

E. Color: The color of amniotic fluid should be clear. If it is green or yellow, this can indicate the presence of meconium, which may cause complications during delivery.

A. Wipe from the back to front when performing perineal hygiene B. Keep a daily record of fetal kick counts. C. Avoid bubble bath solution when taking a tub bath. D. Use a condom with sexual intercourse.

Correct Answer is B

Explanation

A. Wipe from the back to front when performing perineal hygiene: The correct method for perineal hygiene is to wipe front to back to reduce the risk of introducing bacteria into the vaginal area, especially in a client with PROM who is at risk for infection.

B. Keep a daily record of fetal kick counts: Monitoring fetal kick counts helps assess fetal well-being, particularly in a high-risk pregnancy like PROM at 26 weeks. It helps detect potential fetal distress early.

C. Avoid bubble bath solution when taking a tub bath: While avoiding bubble bath may help prevent irritation or infection, tub baths should be avoided entirely in cases of PROM to reduce the risk of ascending infection.

D. Use a condom with sexual intercourse. Sexual intercourse is contraindicated in clients with PROM due to the risk of infection.

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What is the primary purpose of assessing fetal heart rate patterns during labor and delivery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Once your client's amniotic membranes have ruptured you need to evaluate the amniotic fluid for the following. (please select all that apply)

Correct Answer is ["C","D","E"]

Explanation

A nurse is reinforcing teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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