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Ch. 15: Fetal Assessment during Labor Questions and Answers Graded A+ 2024/2025
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Ch. 15: Fetal Assessment during Labor Questions and Answers Graded A+ 2024/2025
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Ch. 15: Fetal Assessment during LaborFetal bradycardia is maximum common during:
a.
Intraamniotic contamination.
B.
Fetal anemia.
C.
Prolonged umbilical cord compression.
D.
Tocolytic treatment the use of terbutaline. - ANSANS: C
Fetal bradycardia may be considered a later signal of fetal hypoxia and is known to occur before
fetal loss of life. Bradycardia can end result from placental switch of drugs, prolonged
compression of the umbilical wire, maternal hypothermia, and maternal hypotension.
Intraamniotic contamination, fetal anemia, and tocolytic remedy the usage of terbutaline could
most in all likelihood bring about fetal tachycardia.
While comparing an external monitor tracing of a lady in energetic hard work, the nurse notes
that the fetal coronary heart fee (FHR) for 5 sequential contractions starts offevolved to slow
down overdue inside the contraction, with the nadir of the decelerations taking place after the
height of the contraction. The nurses first precedence is to:
a.
Change the womans function.
C.
Assist with amnioinfusion.
B.
Notify the care company.
,D.
Insert a scalp electrode. - ANSANS: A
Late decelerations may be caused by maternal supine hypotension syndrome. They normally
are corrected whilst the female turns on her side to displace the weight of the gravid uterus from
the vena cava. If the fetus does not respond to number one nursing interventions for late
decelerations, the nurse might maintain with subsequent intrauterine resuscitation measures,
consisting of notifying the care provider. An amnioinfusion can be used to alleviate strain on an
umbilical twine that has now not prolapsed. The FHR sample related to this case maximum
probably well-knownshows variable deceleration. A fetal scalp electrode could provide accurate
records for evaluating the nicely-being of the fetus; but, this is not a nursing intervention that
could alleviate late decelerations, nor is it the nurses first priority.
The nurse caring for the laboring lady ought to understand that early decelerations are caused
by:
a.
Altered fetal cerebral blood drift.
C.
Uteroplacental insufficiency.
B.
Umbilical wire compression.
D.
Spontaneous rupture of membranes. - ANSANS: A
Early decelerations are the fetuss reaction to fetal head compression. Variable decelerations are
related to umbilical cord compression. Late decelerations are associated with uteroplacental
insufficiency. Spontaneous rupture of membranes has no bearing at the fetal coronary heart
charge unless the umbilical cord prolapses, which might result in variable or extended
bradycardia.
The nurse providing care for the laboring lady comprehends that accelerations with fetal motion:
a.
, Are reassuring.
B.
Are due to umbilical twine compression.
C.
Warrant close statement.
D.
Are caused by uteroplacental insufficiency. - ANSANS: A
Episodic accelerations inside the fetal heart charge (FHR) arise throughout fetal motion and are
indications of fetal properly-being. Umbilical wire compression results in variable decelerations
in the FHR. Accelerations inside the FHR are an indication of fetal properly-being and do not
warrant near statement. Uteroplacental insufficiency could bring about late decelerations within
the FHR.
The nurse offering care for the laboring woman realizes that variable fetal heart rate (FHR)
decelerations are because of:
a.
Altered fetal cerebral blood float.
C.
Uteroplacental insufficiency.
B.
Umbilical cord compression.
D.
Fetal hypoxemia. - ANSANS: B
Variable decelerations can arise any time at some point of the uterine contracting section and
are because of compression of the umbilical twine. Altered fetal cerebral blood flow might bring
about early decelerations inside the FHR. Uteroplacental insufficiency might result in late
decelerations within the FHR. Fetal hypoxemia could bring about tachycardia to start with and
then bradycardia if hypoxia continues.
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