While evaluating an external monitor tracing of a woman in active labor, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate during the contraction's peak, with the nadir of the decelerations occurring when the contraction end. The nurse's first priority is to:
Select one:

Insert a scalp electrode.

Notify the care provider.

Assist with amnioinfusion.

Reposition the patient.

Answer and Explanation

The Correct Answer is D

a. A scalp electrode is not indicated unless there is a problem with the external monitor tracing or if further assessment of the fetal heart rate variability is needed.
b. This is important but repositioning the patient is the priority.

c. Amnioinfusion is only done if repositioning the patient does not resolve the late decelerations.

d. The nurse is observing late decelerations of the fetal heart rate, which indicate uteroplacental insufficiency and fetal hypoxia. The nurse's first priority is to reposition the patient to improve placental blood flow and oxygen delivery to the fetus. Repositioning can be done by turning the patient to her side, elevating her legs, or placing a wedge under her hip.

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Correct Answer is B

Explanation

a. The barrier method, which includes male and female condoms, diaphragms, and cervical caps, is effective at preventing pregnancy but may not provide adequate protection against sexually transmitted diseases.
b. Abstaining from sex is the only surefire way to prevent both pregnancy and sexually transmitted diseases.
c. The female condom can provide some protection against pregnancy, but may not provide adequate protection against sexually transmitted diseases.
d. The male condom can provide some protection against pregnancy, but may not provide adequate protection against sexually transmitted diseases.

A. Variable decelerations are due to umbilical cord compression B. Variable decelerations are related to fetal head compression. C. Variable decelerations are caused by uteroplacental insufficiency. D. Variable decelerations are a result of the administration of IV narcotic analgesics. E. Variable decelerations are a result of the administration of IV narcotic analgesics.

Correct Answer is A

Explanation

a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.

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Naxlex Comprehensive Predictor Exams

The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? Select one:

Correct Answer is B

Explanation

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is A

Explanation

The nurse is administering Terbutaline (Brethine) to a pregnant woman to stop preterm labor. Which finding indicates an adverse reaction and the Physician must be notified? Select one:

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of Select one:

You are working in the labor and delivery unit, you received several nursing reports. Which patient should you assess first? Select one:

The nurse caring for the laboring woman should understand that early decelerations are caused by:

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

The phase in which the ovarian function and hormone production decline and the patient had a lack of menstrual period for 13 months is known as: