ATI NSG 4525 Intrapartum questions and answers fall 2023 gradedA+

ATI NSG 4525 Intrapartum questions and answers fall 2023 gradedA+ A nurse is observing the electronic fetal heart rate monitor for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect cord compression when she observes which of the following patterns? -Early decelerations -Accelerations -Late decelerations -Variable decelerations - Variable decelerations - Variable decelerations occur when the umbilical cord becomes compressed and disrupts the flow of oxygen to the fetus. A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. the nurse observes the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first? -Place the client in the lateral position. -Increase the rate of maintenance IV infusion. -Elevate the client's legs. -Administer oxygen using a nonrebreather mask. - Place the client in the lateral position. - This is a late deceleration and is associated with fetal hypoxemia due to insufficient placental perfusion. Placing the client in the lateral position is the first action the nurse should take. A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding? -The fetal head is in the left occiput posterior position. -The largest fetal diameter has passed through the pelvic outlet. -The posterior fontanel is palpable. -The lowermost portion of the fetus is at the level of the ischial spines. - The lowermost portion of the fetus is at the level of the ischial spines. - The presenting part is at 0 station when its lowermost portion is at the level of an imaginary line drawn between the client's ischial spines. Levels above the ischial spines are negative values: -1, -2, -3. Levels below the ischial spines are positive values: +1, +2, +3. A nurse is caring for a client who is in labor and had an external fetal monitor. The nurse observed late deceleration on the monitor strip and interprets them as indicating which of the following? -Uteroplacental insufficiency