Which action should the nurse take?
Document the normal finding.
Notify the healthcare provider.
Schedule an ultrasound.
Obtain hematocrit level.
The Correct Answer is B
Choice A rationale
Documenting the finding without further action is inappropriate when faced with an abnormal FHR pattern. Immediate intervention is crucial to prevent potential fetal hypoxia or distress, necessitating a prompt response.
Choice B rationale
Notifying the healthcare provider is essential when encountering abnormal FHR patterns. Timely communication allows for appropriate interventions to be implemented, reducing the risk of adverse fetal outcomes and ensuring patient safety.
Choice C rationale
Scheduling an ultrasound is not the immediate priority when an abnormal FHR pattern is detected. Immediate clinical evaluation and interventions are necessary to address potential fetal distress or hypoxia.
Choice D rationale
Obtaining a hematocrit level is unrelated to the immediate management of abnormal FHR patterns. The priority is to address the fetal well-being and ensure adequate oxygenation through timely clinical interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Documenting the finding without further action is inappropriate when faced with an abnormal FHR pattern. Immediate intervention is crucial to prevent potential fetal hypoxia or distress, necessitating a prompt response.
Choice B rationale
Notifying the healthcare provider is essential when encountering abnormal FHR patterns. Timely communication allows for appropriate interventions to be implemented, reducing the risk of adverse fetal outcomes and ensuring patient safety.
Choice C rationale
Scheduling an ultrasound is not the immediate priority when an abnormal FHR pattern is detected. Immediate clinical evaluation and interventions are necessary to address potential fetal distress or hypoxia.
Choice D rationale
Obtaining a hematocrit level is unrelated to the immediate management of abnormal FHR patterns. The priority is to address the fetal well-being and ensure adequate oxygenation through timely clinical interventions.
Correct Answer is B
Explanation
Choice A rationale
Encouraging breastfeeding every 2 to 3 hours is contraindicated in HIV-positive mothers. Breastfeeding can transmit HIV to the infant despite maternal antiretroviral therapy, thus alternative feeding methods are recommended to prevent viral transmission.
Choice B rationale
Zidovudine administration within 6 to 12 hours after birth reduces the risk of perinatal HIV transmission. Early prophylaxis is crucial for preventing viral replication and reducing the likelihood of the infant acquiring HIV.
Choice C rationale
Administering antibiotics for 7 to 10 days is unnecessary unless there is evidence of bacterial infection. HIV-exposed infants need antiviral prophylaxis to prevent HIV transmission, not routine antibiotic treatment without specific indications.
Choice D rationale
Delaying the initial bath for 1 to 2 days is not recommended as it doesn't impact HIV transmission risk. Immediate skin cleansing can reduce exposure to maternal blood and bodily fluids, thus it’s standard practice to bathe newborns soon after birth.
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