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 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.

A. "The purpose of this medication is to boost fetal lung maturity." B. "The purpose of this medication is to stop preterm labor contractions." C. "The purpose of this medication is to halt cervical dilation." D. "The purpose of this medication is to increase the fetal heart rate."

Correct Answer is A

Explanation

A. "The purpose of this medication is to boost fetal lung maturity." Betamethasone is a corticosteroid given to promote fetal lung maturity by stimulating surfactant production, especially in preterm labor.

B. "The purpose of this medication is to stop preterm labor contractions." Tocolytics, not corticosteroids, are used to stop preterm labor contractions. Betamethasone is not designed to halt contractions.

C. "The purpose of this medication is to halt cervical dilation." Betamethasone does not affect cervical dilation. Its role is to support fetal lung development.

D. "The purpose of this medication is to increase the fetal heart rate." Betamethasone does not directly influence fetal heart rate. Its primary use is to mature fetal lungs in anticipation of early birth.

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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

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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Correct Answer is A

Explanation

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