Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

Maternal hypotension

Maternal tachycardia

The patient did not get an IV bolus prior to the epidural.

Placenta previa

Answer and Explanation

Correct Answer : A,C

A. Maternal hypotension is a common side effect of epidural anesthesia, which can reduce uteroplacental blood flow and lead to late decelerations in the fetal heart rate.

B. Maternal tachycardia is not typically associated with late decelerations; it is more often seen with early decelerations or fetal distress.

C. An IV bolus prior to the epidural helps maintain blood volume and prevent hypotension. Without it, the risk of hypotension and subsequent late decelerations increases.

D. Placenta previa typically causes painless vaginal bleeding and may lead to abnormal FHR patterns, but it is not a direct cause of late decelerations post-epidural.

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Correct Answer is C

Explanation

A. 3 lbs per week is too high for someone with a BMI of 16 and could lead to excessive weight gain.

B. 35-40 lbs is too broad and may not be suitable for this patient's low BMI, which typically requires a more controlled approach.

C. For a patient with a BMI of 16 (underweight), the recommended weight gain during pregnancy is generally between 28-40 pounds, but given the patient's lower weight, 15-20 lbs is a realistic goal for weight gain, allowing for healthy fetal development.

D. Less than 1lb per week could be too slow, potentially leading to insufficient fetal growth.

A. She experienced an abruptio placenta and pre eclampsia with her labor. B. She had a 4100 gm baby. C. This is her 5th child. D. She had hyperemesis gravidarium her first trimester.

Correct Answer is A

Explanation

A. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.

B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.

C. Having five children does not increase the risk for DIC.

D. Hyperemesis gravidarum is not related to the development of DIC.

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Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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