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.

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 ["B","D","E"]

Explanation

A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.

B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.

C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.

D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.

E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.

Correct Answer is "{\"xRanges\":[103.5,203.5],\"yRanges\":[153,253]}"

Explanation

Quickening often occurs between 18 and 20 weeks gestation in multigravidas and between 16 and 18 weeks in subsequent pregnancies. If quickening has not occurred by 21 weeks, it may be a cause for concern, warranting further evaluation.

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

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

Temp 98.6 (0) Sp02 98% on RA Exhibits What three priority assessments will you make for this patient?

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

Explanation

If a patient calls the doctors office and at 15 weeks gestation complaining that quickening has not occurred you would tell her this is normal. Click on the fetus that represents the number of weeks when you would tell her she should be concerned that quickening has not occurred?

Correct Answer is "{\"xRanges\":[103.5,203.5],\"yRanges\":[153,253]}"

Explanation

A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

The doctor writes an order for Terbutaline to be given 5Q. Which assessment finding will cause the nurse to question this order?

A client tells the nurse she is to have a cerclage and wants to know why the doctor is going to do this. The nurse provides education about a cerclage. Which statement indicates teaching needs to be reinforced?

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

What is the duration of the contractions in this strip. Answer with a range in seconds in lower case-example: "20 to 30" or "50 to 60" seconds space like in the example or you may get marked wrong

A patient had a vaginal birth 4 hours ago. Her hematocrit of 35% on admission for labor. Her current hematocrit is 25% which of the following statements by the nurse might best explain that

You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?

A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?