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 B

Explanation

A. "Domestic violence affects 1 in 4 women" is correct. The prevalence of domestic violence is high, and this statistic is often used in educational materials.

B. Abuse often escalates during pregnancy due to the stress, hormonal changes, and increased dependence. It is a common misconception that abuse decreases; it actually becomes more severe during pregnancy.

C. "A woman's greatest risk for homicide is during separation or attempts to separate" is correct. The most dangerous time for women in abusive relationships is when they attempt to leave or separate from the abuser.

D. "Abused women often willingly go back to the abusers" is correct. Many women return to abusive partners due to emotional or financial dependency, or fear.

A. “Because you're not eating enough iron-rich foods like meat." B. "Because you are hemoconcentrated the hematocrit dropped after delivery." C. "Because your blood volume has doubled, your hematocrit is lower." D. "This change in hematocrit indicates a postpartum hemorrhage."

Correct Answer is C

Explanation

A. A decrease in hematocrit after delivery is more likely due to physiological changes rather than dietary factors alone, though iron intake is important for overall recovery.

B. Hemoconcentration refers to an increase in hematocrit due to a decrease in plasma volume, but this is not the reason for a decreased hematocrit postpartum.

C. During pregnancy, blood volume increases to support both the mother and fetus. After delivery, plasma volume returns to pre-pregnancy levels, which can cause a relative decrease in hematocrit.

D. A significant drop in hematocrit could indicate postpartum hemorrhage, but a slight drop can be expected as part of normal post-delivery physiology.

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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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