When interpreting fetal heart rate patterns, what other information is considered in addition to baseline and variability?

Maternal heart rate

Gestational age

Uterine contractions

Presence of accelerations and decelerations

Answer and Explanation

The Correct Answer is C

A. Maternal heart rate: While the maternal heart rate is important, it is not directly related to interpreting FHR patterns. However, it is necessary to differentiate between the maternal and fetal heart rate on the monitor.

B. Gestational age: While gestational age affects fetal heart rate (younger fetuses tend to have higher baseline rates), it is not a direct component of FHR interpretation.

C. Uterine contractions: Uterine contractions are crucial in FHR interpretation because they influence perfusion to the fetus. Decelerations occurring with contractions may indicate fetal distress (e.g., late decelerations suggest uteroplacental insufficiency).

D. Presence of accelerations and decelerations: Accelerations and decelerations provide key information about fetal well-being. Accelerations indicate fetal well-being, while decelerations may signal hypoxia, cord compression, or uteroplacental insufficiency.

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Correct Answer is C

Explanation

A. "I need to stay on the diabetic diet." Dietary management is the first-line treatment for GDM and helps maintain blood glucose levels within the target range.

B. "I need to be aware of any infections and report signs of infection immediately to my primary health care provider (PHCP)." Infections can increase insulin resistance and lead to hyperglycemia. Clients with GDM should monitor for signs of infection (e.g., fever, urinary symptoms) and seek prompt treatment.

C. "I would avoid exercise because of the negative effects on insulin production." Regular exercise improves insulin sensitivity and helps control blood glucose levels. Clients with GDM are encouraged to engage in moderate physical activity unless contraindicated.

D. "I need to perform glucose monitoring at home." Home glucose monitoring is essential for assessing glycemic control and guiding treatment decisions.

A. Increase the client's IV fluid infusion rate. B. Palpate the client's uterus. C. Administer oxygen to the client. D. Turn the client onto her side.

Correct Answer is D

Explanation

A. Increase the client's IV fluid infusion rate. While increasing IV fluids can improve placental perfusion, the priority intervention for late decelerations is repositioning the client to relieve uteroplacental insufficiency.

B. Palpate the client's uterus. Uterine palpation helps assess for tachysystole (excessive contractions), which could contribute to late decelerations. However, this is not the priority intervention.

C. Administer oxygen to the client. Oxygen administration (8-10 L/min via face mask) improves fetal oxygenation, but repositioning the client should be done first to relieve pressure on the placenta.

D. Turn the client onto her side. Repositioning the client to the left or right lateral position improves uteroplacental circulation and reduces compression of the inferior vena cava, increasing blood flow to the fetus.

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When interpreting fetal heart rate patterns, what other information is considered in addition to baseline and variability?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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