Decelerations occur in an early, variable, or late pattern. What is the significance of these
patterns? State what the nurse should do for each type.
What will be an ideal response?
• Early decelerations are thought to be caused by fetal head compression and are considered a
benign finding.
• Variable decelerations typically indicate cord compression. Turn the patient's position and closely
monitor. They typically occur during the transition phase of the first stage of labor and during the
second stage of labor.
• Late decelerations are considered to be more urgent because the fetus might be in distress.
Persistent and repetitive late decelerations usually indicate fetal hypoxemia as a result of
insufficient placental perfusion. This is monitored closely because it might indicate the need for an
emergency cesarean delivery.
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Which of the following members of the operative team use sterile technique during the surgical procedure? Choose all that apply
1) Surgeon 2) Anesthetist 3) Scrub nurse 4) Registered nurse first assistant
A blood pressure of 110/70 at 8 PM is most accurately described as an example of
a. planning data. b. subjective data. c. objective data. d. reassessment data.
The nurse is conferring with the nutritionist about the needs of a Native American. The nurse an-ticipates that the client will:
1. Follow a strict vegetarian diet 2. Avoid the use of alcohol and tobacco 3. Expect to avoid pork-related products 4. Follow a diet according to individual tribal beliefs
The laboring primiparous patient with meconium-stained amniotic fluid asks the nurse why the fetal monitor is necessary, as she finds the belt uncomfortable. Which response by the nurse is most important? "The monitor:
1. "Is necessary so we can see how your labor is progressing." 2. "Will prevent complications from the meconium in your fluid." 3. "Helps us to see how the baby is tolerating labor." 4. "Can be removed, and oxygen can be given instead."