Questions
A medical doctor has just finished an ultrasound on a affected person this is at 35 weeks
gestation. He informs the nurse that the patient has little or no amniotic fluid, that's causing the
umbilical wire to compress the child's head. He asks the nurse to start getting his device
equipped so that he can correct the problem. What is the primary nursing motion that wishes to
be finished?
A. Discontine oxytocin IV
b. Inspire mom to transport from side to side and pass in a knee-chest role to relieve umbilical
cord compression
c. Start adminstering oxygen via a masks at ranges 10-20 l/min
d. Locating an intrauterine stress catheter, gloves, and the syringe needed to carry out
aminocentesis to provide the patient more fluid to boom her amniotic fluid degrees and relieve
umbilical wire compresison - ANS-d. Locating an intrauterine stress catheter, gloves, and the
syringe needed to carry out aminocentesis to provide the patient greater fluid to boom her
amniotic fluid tiers and relieve umbilical twine compresison
A maternal nurse is watching that a fetus has increases in FHR which might be above the
baseline and extra than or same to fifteen bpm and lasting longer than or identical to fifteen
seconds in terms of mother's uterine contractions. The nurses' precedence action might be to:
a. Report this as a everyday locating, called accelerations that imply the fetus is doing nicely.
B. Report this immediately to the physician due to the fact this shows that the fetus is
compromised.
C. Adminster mom oxygen from eight-10 l/min straight away after which notify health
practitioner. - ANS-a. Report this as a everyday finding, called accelerations that suggest the
fetus is doing properly.
A nurse determines that a child has a baseline FHR of one hundred bpm on a EFM strip. The
nurse explains to the mother that that is taken into consideration a:
a. An EARLY sign of fetal hypoxia or prematurity
b. A LATE sign of fetal hypoxia
c. A everyday finding of a thriving fetus - ANS-b. A LATE signal of fetal hypoxia
A nurse determines that a baby's FHR is below one hundred ten beats in step with minute. The
nurse is concerned and notifies the medical doctor by means of explaining that the fetus has:
, a. Tachycardia
b. Bradycardia - ANS-b. Bradycardia
A nurse determines that time period child's baseline fetal heart charge is 140 beats in keeping
with minute. A nurse explains to her affected person that this fetal coronary heart fee is:
a. Bizarre as it isn't always inside the regular range of 90-one hundred bears perm minute for a
time period or publish term fetus
b. Regular because it's miles within the range of 110-a hundred and sixty bpm for a term or put
up time period fetus
c. Unusual as it isn't always in the normal range of a hundred and sixty-2 hundred bpm for a
term or put up time period fetus - ANS-b. Normal because it's miles within the variety of a
hundred and ten-one hundred sixty bpm for a term or put up time period fetus
A nurse explains to her 19 12 months antique affected person that she might be the usage of
strategies of inner fetal tracking on her to display her infant's FHR when it comes to her uterine
contractions. Which of the following internal fetal monitoring gadgets will the nurse use? (select
all that apply)
a. Intrauterine strain catheter
b. Tocotransducer
c. Ultrasound transducer
d. Spiral electrode - ANS-a. Intrauterine pressure catheter
d. Spiral electrode
A nurse has been tracking a FHR that has continuously displayed no variability and
non-reassuring patterns. What ought to be the nurse's primary action?
A. Apply an oxygen masks to the mom that runs eight-10 L/min.
B. Stimulate the fetus scalp by using rubbing it thru the mother's stomach with gloved arms. The
nurse have to also use vibroacusotic stimulation and play track that resembles sounds heard in
utero to growth the toddlers HR via stimulation.
C. Encourage and help mother to show to a knee chest function to assist relieve wire
compression, with the intention to help boom baby's HR. - ANS-b. Stimulate the fetus scalp
through rubbing it through the mother's abdomen with gloved arms. The nurse need to
additionally use vibroacusotic stimulation and play music that resembles sounds heard in utero
to growth the babies HR through stimulation.
A nurse has tried more than one measures to increase a patient's toddler's FHR. The nurse
could deem which of the following situations now not correctable and omnious?
A. Early decelerations associated with decreased variability and tachycardia
b. Overdue decelerations associated with reduced variability and tachycardia
c. Variable declerations associated with reduced variability and tachycardia - ANS-b. Overdue
decelerations associated with reduced variability and tachycardia