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. No displacement of the gravid uterus is necessary during CPR on a pregnant woman. Displacement of the uterus is necessary in a pregnant woman (especially after 20 weeks gestation) to prevent supine hypotension syndrome.

B. Apply pressure on the abdomen above the umbilicus to displace the uterus. Applying pressure above the umbilicus is not an effective method of uterine displacement. The correct technique involves manual displacement to the left or tilting the woman to the left.

C. Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava. Tilting the uterus to the left helps relieve compression on the inferior vena cava, improving venous return and cardiac output. This is essential during CPR to optimize blood flow to the mother and fetus.

D. Apply pressure directly on the gravid uterus to maintain blood flow to the fetus. Applying direct pressure on the uterus could further compromise circulation rather than improving it.

A. Viability of the fetus B. The biparietal diameter C. Location of the placenta D. Fetal lung maturity

Correct Answer is C

Explanation

A. Viability of the fetus: The client reports fetal movement, indicating viability. While fetal well-being is always a consideration, the priority here is determining the cause of the bleeding.

B. The biparietal diameter: The biparietal diameter (BPD) is used to assess fetal head size and estimate gestational age, which is not relevant to the client’s bleeding.

C. Location of the placenta: The priority in evaluating third-trimester bleeding is ruling out placenta previa (where the placenta covers the cervix) or placental abruption. Ultrasound helps determine if the placenta is improperly positioned.

D. Fetal lung maturity: Fetal lung maturity is assessed when preterm delivery is being considered, typically before 37 weeks, but it is not the primary concern in assessing vaginal bleeding.

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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

During CPR on a pregnant woman, what is the correct method for displacing the gravid uterus?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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

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