Which of the following is a finding for a patient who is having hypertonic contractions during labor?
Decreased fetal heart rate.
Uterus may not relax between contractions.
Easily indentable contraction.
Contractions are weak and ineffective.
The Correct Answer is B
Choice A rationale
Decreased fetal heart rate can occur due to uteroplacental insufficiency but is not specific to hypertonic contractions.
Choice B rationale
The uterus may not relax between contractions, leading to a lack of rest periods for the fetus and compromised blood flow.
Choice C rationale
Easily indentable contractions are characteristic of hypotonic contractions, not hypertonic ones.
Choice D rationale
Weak and ineffective contractions indicate hypotonic labor, contrasting the excessive strength of hypertonic contractions.
NGN QUESTIONS
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage, as the uterus fails to contract effectively to compress blood vessels.
Choice B rationale
Moderate lochia rubra is expected postpartum vaginal bleeding, representing normal shedding of the uterine lining, not specifically indicating hemorrhage risk.
Choice C rationale
A first-degree perineal laceration is a minor tear that does not significantly increase the risk for postpartum hemorrhage as it usually involves limited bleeding.
Choice D rationale
Hypotension alone does not increase the risk for postpartum hemorrhage; however, it could be a result of ongoing hemorrhage rather than a cause.
Correct Answer is B
Explanation
Choice A rationale
Not all STIs are transmitted during delivery. For example, infections like trichomoniasis are not typically transmitted during birth, whereas others like herpes simplex virus can be.
Choice B rationale
Some STIs, such as herpes and HIV, can be transmitted during vaginal delivery, posing a risk to the newborn. Preventative measures, including antiviral treatment, can reduce this risk.
Choice C rationale
A cesarean section is not always required to prevent STI transmission. It is recommended in cases of active genital herpes or uncontrolled HIV to reduce transmission risk.
Choice D rationale
Some STIs, such as HIV, can be transmitted through breastfeeding. It is important to follow medical guidelines to prevent postnatal transmission via breast milk.
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