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 B

Explanation

A. 2300 calories is insufficient for breastfeeding. An additional 500 calories is needed for milk production.

B. The recommended caloric intake for breastfeeding women is typically an additional 500 calories per day above their pre-pregnancy caloric intake. So, for this woman, it would be 2500 calories (2000 + 500).

C. 2750 calories is more than the typical recommendation.

D. 3000 calories is higher than the typical recommendation for most breastfeeding women.

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

A woman had a recommended caloric intake of 2000 calories per day before becoming pregnant. She delivers and is breastfeeding. How many calories per day is recommended for her now?

Correct Answer is B

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

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