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. Rhogam is usually given at 28 weeks of pregnancy, not 4 days after delivery.

B. Rh-negative mothers who have had an Rh-positive baby are typically given Rhogam at 28 weeks gestation to prevent Rh sensitization. Rhogam is also given after delivery if the baby is Rh-positive.

C. Rhogam is necessary for Rh-negative women who have had an Rh-positive baby, as it helps prevent Rh sensitization in subsequent pregnancies.

D. Only the baby is at risk for Rh incompatibility, not the partner.

A. Tubal damage from hyperglycemia. B. Tubal damage from migraine headaches. C. Tubal damage from fibromyalgia D. Tubal damage from PID.

Correct Answer is D

Explanation

A. Tubal damage from hyperglycemia: Hyperglycemia, often seen in diabetes, can affect reproductive health but is more commonly associated with issues like poor implantation or uterine environment rather than direct tubal damage.

B. Tubal damage from migraine headaches: Migraine headaches do not cause direct tubal damage or infertility. They may impact overall health and stress levels but are not linked to structural damage in the reproductive tract.

C. Tubal damage from fibromyalgia: Fibromyalgia is a chronic condition causing widespread pain and fatigue but does not directly cause tubal damage.

D. Tubal damage from PID: Pelvic inflammatory disease is a leading cause of infertility due to the inflammation and scarring it can cause in the fallopian tubes, which can block or damage them, preventing fertilization.

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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

A woman is RH neg and pregnant. Her previous baby was Rh positive. The nurse would be correct in telling her which of the following information?

Correct Answer is B

Explanation

partner have been trying to conceive for the past 6 months. The client's medical history is significant for diabetes migraine headaches, fibromyalgia, and pelvic inflammatory disease (PID). Which reason is most likely causing the client's infertility?

Correct Answer is D

Explanation

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