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Practice Question

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

Answer Choices:

Correct Answer:

Variable decelerations

Rationale:

🔻Variable decelerations on the fetal monitor are associated with umbilical cord compression.

🔻These appear as abrupt decreases in fetal heart rate of varying duration and intensity, not tied to contractions.

🔻Umbilical cord compression compromises oxygen and blood flow, posing risks of fetal hypoxia and distress.

🔻Nursing interventions may include repositioning the mother, administering oxygen, or amnioinfusion if ordered.

🔻Prompt recognition and response are essential to prevent adverse neonatal outcomes.

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This question is from Custom RN~Maternity Assessment 3, Taylor College FL-ADN which contains 72 questions.

More Questions from This Exam
A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?

Answer Choices:

A. Provide a squeeze bottle of antiseptic solution.
B. Apply an ice pack to the affected area.
C. Place a hot pack to the perineum.
D. Offer a warm sitz bath.
A nurse is caring for a client who has just delivered a newborn. The nurse notes secretions bubbling out of the newborn's nose and mouth. Which of the following actions is the nurse's priority?

Answer Choices:

A. Suction the mouth with a bulb syringe.
B. Turn the newborn on his side.
C. Suction the nose with a bulb syringe.
D. Use a suction catheter with low negative pressure.
From Exam
Custom RN~Maternity Assessment 3, Taylor College FL-ADN

72 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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