Which of the following findings on fetal monitor tracing would be of most concern to the nurse?

Occasional accelerations.

Minimal or absent baseline variability.

Presence of early decelerations.

Fetal heart baseline of 160.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Occasional accelerations in fetal heart rate are generally reassuring, indicating fetal well-being and a positive response to movement or contractions.
Choice B rationale
Minimal or absent baseline variability is concerning because it can signal fetal hypoxia or central nervous system depression, indicating potential compromise in fetal oxygenation and well-being.
Choice C rationale
Early decelerations typically coincide with contractions and are often benign, resulting from fetal head compression that momentarily decreases heart rate but does not indicate distress.
Choice D rationale
A fetal heart baseline of 160 beats per minute is within the normal range (110-160 bpm), signifying an adequate fetal heart rate and not indicating immediate concern for the nurse.

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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. Occiput anterior. B. Occiput posterior. C. Mentum posterior. D. Occiput transverse.

Correct Answer is A

Explanation

Choice A rationale
The occiput anterior position is optimal for labor and birth due to the fetal head's alignment with the maternal pelvis, reducing resistance and facilitating descent through the birth canal.
Choice B rationale
The occiput posterior position can lead to prolonged labor and increased discomfort because the fetal head does not align with the maternal pelvis as effectively as in the anterior position.
Choice C rationale
The mentum posterior position is uncommon and often requires medical intervention, as the chin-first presentation can obstruct labor progression and prevent the fetus from passing through the birth canal.
Choice D rationale
The occiput transverse position may result in a difficult labor due to the fetal head being oriented sideways, hindering descent and potentially necessitating medical assistance or operative delivery.

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Which of the following findings on fetal monitor tracing would be of most concern to the nurse?

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 aware that labor and birth will most likely proceed normally when the fetal position is:

Correct Answer is A

Explanation

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