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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The A1c test measures the average blood glucose levels over the past 2-3 months, not the liver’s ability to absorb hemoglobin.
B. The A1c test does not provide current glucose levels in the blood but reflects long-term glucose control.
C. An A1c of 46% (6.5%) is a generally accepted target for good diabetic control, reflecting long-term blood glucose levels.
D. An A1c test is typically done every 3 months for people with diabetes, not routinely between 24 to 28 weeks in all pregnant women unless they have diabetes.
Correct Answer is ["B","D"]
Explanation
A. A G3 P2 laboring patient with a current vaginal exam of 8/100%/0: This patient is in advanced labor (transition phase) and IV pain medication is typically avoided due to the proximity to delivery, which could affect the newborn.
B. A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80%/-1: This patient is in active labor with normal fetal heart tracing, making her a suitable candidate for IV pain medication.
C. A G1 P0 laboring patient with the FHT showing no variability and late decelerations: This patient has non-reassuring fetal heart tracings, indicating potential fetal distress, making IV pain medication inappropriate as it could further compromise the fetus.
D. A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes: This patient is also in active labor with normal fetal heart tracings, making her a suitable candidate for IV pain medication.
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