While orienting a new nurse to the obstetrics unit, the R.N. preceptor is describing how to determine the baseline (BL) fetal heart rate (FHR). Which statement should the R.N. preceptor include in order to accurately describe the BL FHR?
1. "The baseline rate is the mean FHR during a 5-minute period rounded to increments of 5 beats per minute is the baseline rate."
2. "The baseline FHR should include periodic or episodic changes in FHR."
3. "Normal baseline FHR ranges from 100 to 180 beats per minute."
4. "The baseline FHR excludes periods of marked variability."
Correct Answer: 4
Rationale 1: The baseline rate is the mean FHR during a 10-minute period rounded to increments of 5 beats per minute (bpm).
Rationale 2: The baseline FHR excludes periodic or episodic changes and periods of marked variability.
Rationale 3: Normal FHR (baseline rate) ranges from 110 to 160 beats per minute.
Rationale 4: The baseline FHR excludes periodic or episodic changes and periods of marked variability.
You might also like to view...
The nurse is caring for a patient who has a family history of reactions to general anesthesia. Which medication will the anesthesiologist have ready as a precautionary measure before the patient's surgery is started?
a. Protamine sulfate b. Dantrolene sodium (Dantrium) c. Activated charcoal with sorbitol d. Folinic acid (Leucovorin)
A patient is undergoing diagnostic testing for mitral stenosis. What statement by the patient during the nurse's interview is most suggestive of this valvular disorder?
A) "I get chest pain from time to time, but it usually resolves when I rest." B) "Sometimes when I'm resting, I can feel my heart skip a beat." C) "Whenever I do any form of exercise I get terribly short of breath." D) "My feet and ankles have gotten terribly puffy the last few weeks."
The nurse is caring for a client who does not accept blood or blood products. Which nursing actions conserve blood? Select all that apply
A) Administer medication to stimulate bone marrow. B) Draw minimum volume of blood for diagnostic tests. C) Administer plasma to expand intravascular volume. D) Reinfuse the client's own blood via closed circuit container. E) Administer factor VIII to stimulate coagulation process. F) Administer blood product only in an emergency.
A young woman was recently brought into the emergency department after being violently raped. The young woman appears calm, with a blunted affect. She speaks in a matter-of-fact manner. How should a nurse interpret the client's behavior?
A) She is lying about the incident. B) She is experiencing a silent rape reaction. C) She is demonstrating a controlled response pattern. D) She is having a compounded rape reaction.