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 ["B","C","D"]
Explanation
Choice A rationale:
The temperature of 36.7°C (98.1°F) is within the normal range for newborns (36.5-37.5°C). Therefore, it does not require immediate follow-up.
Choice B rationale:
The respiratory rate of 74/min exceeds the normal range for newborns (30-60 breaths/min), indicating potential respiratory distress. Immediate follow-up is crucial to prevent respiratory failure.
Choice C rationale:
The heart rate of 170/min is above the normal range for newborns (120-160 beats/min). Tachycardia can indicate stress, infection, or other underlying conditions that need prompt evaluation.
Choice D rationale:
Work of breathing includes signs such as retractions, nasal flaring, and grunting, which indicate respiratory distress. These signs require immediate follow-up to address any potential respiratory complications.
Choice E
rationale: Blood glucose level is not mentioned in the question or exhibits. Without information on blood glucose, it is not possible to determine if it requires immediate follow-up.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Gestational diabetes mellitus increases the risk of preterm labor due to potential complications such as polyhydramnios and preeclampsia.
Choice B rationale
Clients with gestational diabetes have a higher risk of developing type 2 diabetes mellitus later in life due to glucose intolerance.
Choice C rationale
Intensive fetal monitoring is necessary to detect potential complications such as macrosomia, hypoglycemia, and fetal distress in GDM clients.
Choice D rationale
Having a cesarean section is not a requirement for all clients with GDM, as vaginal delivery is possible with well-controlled glucose levels.
Choice E rationale
Clients with GDM are at risk of postpartum hemorrhage due to uterine overdistention from macrosomia or polyhydramnios.
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