The nurse providing care for the laboring woman comprehends that accelerations with fetal movement:
a. Are reassuring.
b. Are caused by umbilical cord compression.
c. Warrant close observation.
d. Are caused by uteroplacental insufficiency.
ANS: A
Episodic accelerations in the fetal heart rate (FHR) occur during fetal movement and are indications of fetal well-being. Umbilical cord compression results in variable decelerations in the FHR. Accelerations in the FHR are an indication of fetal well-being and do not warrant close observation. Uteroplacental insufficiency would result in late decelerations in the FHR.
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The nurse's friend is talking about delivering her baby in a tub of warm water to make the baby's entry into the world less traumatic. The nurse explains that one of the contraindications for this form of delivery is the need for the infant to:
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