When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

Turn the patient to her side.

Provide 2-3 liters of oxygen via mask

Notify the health care provider.

Stop the oxytocin

Answer and Explanation

Correct Answer : A,B,C,D

A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.

B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.

C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.

D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.

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Correct Answer is ["A","B","D"]

Explanation

A. The length of time the infant is feeding is a factor in evaluating the effectiveness of breastfeeding.

B. Listening for swallowing during breastfeeding indicates that the infant is transferring milk effectively.

C. Asking about pain while feeding is important for assessing breastfeeding comfort, but it's not part of the LATCH score.

D. Nipple shape (inverted, flat, or everted) is part of the LATCH score, as it can impact latch and breastfeeding effectiveness.

E. Assessing for help at home with breastfeeding is important for support but is not part of the LATCH scoring system.

F. Use of a nipple shield is important for certain breastfeeding difficulties but is not part of the LATCH score.

A. Keep the state records updated. B. Determine ABO incompatibilities C. Determine if the infant has hypoglycemia D. Recognize and treat multiple genetic or metabolic disorders.

Correct Answer is D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

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When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).

Correct Answer is ["A","B","D"]

Explanation

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

A man calls the nurses’ station stating that his wife, who delivered four days ago, is happy one minute and crying the next. The man says, "She was never like this before the baby was born. What would be the best response by the nurse?

A patient with pregnancy-induced hypertension is admitted complaining of pounding headache and epigastric pain. Nursing care is based on the knowledge that these signs indicate:

Place the cursor at where step #3 of Leopold's maneuver is performed.

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

A woman is RH neg and pregnant. Her previous baby was Rh positive. The nurse would be correct in telling her which of the following information?

Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?