Which fetal heart rate (FHR) finding would concern the nurse during labor?
Select one:
Accelerations with fetal movement
Early decelerations
Late decelerations
An average FHR of 126 beats/min
An average FHR of 126 beats/min
The Correct Answer is C
a. This is a normal FHR pattern and is not a cause for concern.
b. These are generally benign and are not a cause for concern.
c. Late decelerations can indicate uteroplacental insufficiency and are a cause for concern.
d. This is a normal FHR and is not a cause for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b. This is not typically done for diagnosis of painless vaginal bleeding.
c. While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d. This is not typically done for diagnosis of painless vaginal bleeding.
Correct Answer is D
Explanation
a. Spontaneous rupture of the membranes (SROM) may or may not occur during labor and is not a reliable sign.
b. Engagement of the presentation is the descent of the fetal head or breech into the pelvis and can occur before labor begins.
c. Irregular contractions can occur during false labor (Braxton Hicks contractions) and are not a reliable sign of true labor.
d. Cervical effacement is the thinning and shortening of the cervix that occurs during labor. It is a sign of true labor, along with cervical dilation and regular contractions.

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