When providing care for the laboring woman should understand that accelerations with fetal movement:
Are caused by umbilical cord compression.
Are caused by placental uterine insufficiency.
Are a positive sign of fetal well-being.
Are an ominous sign and warrant close observation.
The Correct Answer is C
Choice A rationale
Umbilical cord compression typically causes variable decelerations in fetal heart rate, not accelerations. Accelerations are not related to cord compression but rather to other factors.
Choice B rationale
Placental uterine insufficiency leads to late decelerations rather than accelerations in fetal heart rate. Accelerations indicate adequate oxygenation, whereas insufficiency impairs fetal oxygenation.
Choice C rationale
Accelerations with fetal movement are a positive sign, indicating the fetus's well-being and appropriate response to stimuli. Normal accelerations last for at least 15 seconds and rise by 15 beats per minute.
Choice D rationale
Ominous signs in fetal monitoring include persistent late decelerations, severe bradycardia, and prolonged decelerations. Accelerations, however, are reassuring and do not warrant concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Drinking as much as desired, even in the second trimester, can lead to fetal alcohol spectrum disorders. No safe amount of alcohol is known during pregnancy.
Choice B rationale
Despite being in the second trimester, no level of alcohol consumption is considered safe during pregnancy, as it poses a risk to fetal development.
Choice C rationale
The safest course is to abstain from alcohol throughout pregnancy as no specific amount has been deemed safe and it can cause irreversible harm to fetal development.
Choice D rationale
Even limiting alcohol consumption to three times a week poses a risk to fetal health, as any amount can potentially cause developmental issues.
Correct Answer is ["A","D","E"]
Explanation
Choice A rationale
Human chorionic gonadotropin (hCG) is produced by the placenta, maintaining the corpus luteum and promoting progesterone production crucial for sustaining pregnancy.
Choice B rationale
Testosterone is not produced by the placenta; it is primarily synthesized in the testes and ovaries and not involved in normal pregnancy hormone production.
Choice C rationale
Insulin is not produced by the placenta; instead, it is secreted by the pancreas and regulates blood glucose levels, not directly linked to pregnancy hormones.
Choice D rationale
Estrogen is produced by the placenta, contributing to the development of female secondary sexual characteristics and maintaining the uterine lining during pregnancy.
Choice E rationale
Progesterone is produced by the placenta, supporting the uterine lining's maintenance, preventing contractions, and creating a suitable environment for fetal development.
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