Which of the following statements is NOT true about baseline fetal heart rates (FHR)?

The baseline FHR can be obtained via ultrasound or auscultation

The baseline FHR can be obtained during contractions

The baseline FHR is normal between 110-160 bpm

The baseline FHR is assessed over a 10-minute period

Answer and Explanation

The Correct Answer is B

A. The baseline FHR can be obtained via ultrasound or auscultation: True. The baseline fetal heart rate can be assessed using ultrasound or auscultation, which are standard methods.
B. The baseline FHR can be obtained during contractions: False. The baseline fetal heart rate should be obtained in the absence of uterine contractions because contractions can temporarily alter the heart rate, making it difficult to determine the true baseline.
C. The baseline FHR is normal between 110-160 bpm: True. This is the accepted normal range for baseline fetal heart rates.
D. The baseline FHR is assessed over a 10-minute period: True. The baseline is typically assessed over a 10-minute window to account for variability and provide an accurate average.

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Correct Answer is B

Explanation

A. Once I am fitted for the diaphragm it will always be the correct size. Incorrect because weight changes, pregnancy, or pelvic surgery may require refitting.
B. I need to leave the diaphragm in for six hours after the last act of intercourse. This is correct to ensure that all sperm are inactivated.
C. This contraceptive can be used during menstruation. Incorrect because it's generally not recommended to use the diaphragm during menstruation due to increased risk of infection.
D. I can leave the diaphragm in for a day or two. Incorrect because leaving it in for more than 24 hours can increase the risk of infection, including toxic shock syndrome.

A. Have you passed any clots? B. Do you have to go to the bathroom? C. When was the last time you changed your pad? D. Are you having any cramping?

Correct Answer is A

Explanation

A. Have you passed any clots? This is important to assess for potential postpartum hemorrhage, which can be indicated by passage of large clots.
B. Do you have to go to the bathroom? This does not directly address the issue of excessive bleeding.
C. When was the last time you changed your pad? This provides information about the amount of bleeding but does not address clotting.
D. Are you having any cramping? Cramping is common postpartum but does not directly assess for hemorrhage.

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Which of the following statements is NOT true about baseline fetal heart rates (FHR)?

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Naxlex Comprehensive Predictor Exams

After educating a client on use of a diaphragm for contraception, which statement made by the client demonstrates an understanding of the teaching provided?

Correct Answer is B

Explanation

When caring for a postpartum client the nurse notes that the client's perineal pad is saturated with bright red blood. What is the priority question to ask the client?

Correct Answer is A

Explanation

You are the nurse providing care for a patient with pelvic inflammatory disease. Which is a priority nursing intervention for this patient?

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