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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale
Quickening, the first fetal movements felt by the mother, typically occurs between 16 and 20 weeks of gestation, so she should expect to feel fluttering sensations within the next month.
Choice B rationale
At 15 weeks of gestation, it is too early for most first-time mothers to feel fetal movements. Quickening usually occurs between 16 and 20 weeks, so she has not missed the window.
Choice C rationale
While some fetal movements may be subtle, it is inaccurate to suggest that some babies are entirely quiet. Quickening is generally felt by most mothers between 16 and 20 weeks.
Choice D rationale
The baby is indeed moving, but fetal movements are usually not felt until 16 to 20 weeks of gestation in first-time pregnancies, so it is normal not to feel them yet at 15 weeks.

A. Perform a vaginal exam. B. Encourage the patient to push. C. Notify the MD. D. Offer the patient the bedpan.

Correct Answer is A

Explanation

Choice A rationale
Strong rectal pressure indicates advanced labor and potential imminent delivery, requiring immediate assessment of cervical dilation to ensure appropriate intervention and prevent complications.
Choice B rationale
Encouraging the patient to push without confirming cervical dilation could lead to cervical trauma or delivery complications if dilation is not complete, making this action inappropriate.
Choice C rationale
Notifying the MD without first assessing cervical dilation may cause unnecessary delay in intervention, potentially leading to complications during labor and delivery if the patient is fully dilated.
Choice D rationale
Offering the patient the bedpan when she feels strong rectal pressure can increase the risk of delivering the baby in an inappropriate setting, as the rectal pressure suggests imminent birth.

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When providing care for the laboring woman should understand that accelerations with fetal movement:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman is 15 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. The best answer is:

Correct Answer is A

Explanation

The nurse is caring for a laboring woman, G3 P2, who was examined 15 minutes ago. Her cervix was 8 cm dilated and 90% effaced. She now states she is feeling strong pressure in her rectum and wants to move her bowels. Which of the following action should the nurse perform first?

Correct Answer is A

Explanation

The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of oxygen and waste products:

Which factor would alert the nurse that a pregnant woman is at risk for the development of toxoplasmosis?

This procedure allows us to identify fetal lie, presentation, and engagement:

When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.

After the nurse completes nutritional counseling for a pregnant woman, she asks the client to repeat the instructions to assess the client’s understanding. Which statement indicates that the client understands the role of protein in her pregnancy?

After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated. What action will the nurse take?

The nurse places a Toco (tocodynamometer) on a client admitted in early labor. The nurse explains to the client that this device provides an accurate assessment of which of the following: