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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blood pressure reading is at the prenatal baseline. If blood pressure remains stable, it does not indicate worsening preeclampsia.
B. Dependent edema has resolved. A decrease in edema suggests an improvement, not worsening, of preeclampsia.
C. Urinary output has increased. Decreased urinary output is concerning in preeclampsia, while increased output suggests better kidney function.
D. The client complains of a headache and blurred vision. These are signs of severe preeclampsia, indicating possible cerebral edema or hypertensive crisis, which requires immediate medical attention.
Correct Answer is A
Explanation
A. "I need to lie flat on my back to perform the procedure." Lying flat on the back can cause supine hypotension syndrome due to compression of the inferior vena cava. The client should lie on her left side or sit in a comfortable position to improve placental circulation.
B. “If I count fewer than 10 kicks in a 2-hour period, I would count the kicks again over the next 2 hours." If fewer than 10 movements are felt in 2 hours, the client should rest, eat, and try counting again. If movements remain low, she should contact her provider.
C. "I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks." Placing hands on the abdomen helps the client feel subtle fetal movements.
D. “I will record the number of movements or kicks." Keeping a record of fetal movements helps monitor fetal well-being.
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