When the nurse is caring for a labor patient who is on continuous electronic fetal monitoring, the baseline fetal heart rate is 150 beats/minute. Which pattern would alert the nurse to possible fetal distress?
a. A baseline variability of 20 beats/minute
b. Fetal heart rate of 170 beats/minute during vaginal examinations
c. Heart rate of 115 beats/minute at the beginning of a uterine contraction
d. Heart rate of 100 beats/minute beginning at the peak of a uterine contraction
ANS: D
A decrease in FHR that begins at the peak of a contraction is often associated with uteroplacental insufficiency.
You might also like to view...
During a critical illness, a patient has been without enteral nutrition for several days. What is the most significant complication this situation places the patient at increased risk for?
A) Sepsis B) Pneumonia C) Fecal impaction D) Abdominal pain
After a 22-year-old female patient with a pituitary adenoma has had a hypophysectomy, the nurse will teach about the need for
a. sodium restriction to prevent fluid retention. b. insulin to maintain normal blood glucose levels. c. oral corticosteroids to replace endogenous cortisol. d. chemotherapy to prevent malignant tumor recurrence.
A single, first-time mother is distressed because she will soon have to return to work
The mother cries and says to a nurse, "I don't know what I am going to do! I can't afford childcare on my limited income!" Which teaching should the nurse provide to the client to initiate the problem-solving process? A) Determine the risks and benefits for each alternative. B) Formulate goals for resolution of the problem. C) Evaluate the outcome of the implemented alternative. D) Assess the facts of the situation.
A patient asks, "What is the major difference between conventional health care and complementary and alternative medicine (CAM)?" The nurse's best reply is that conventional health care:
a. focuses on what is done to the patient, whereas CAM focuses on body-mind interaction with an actively involved patient. b. has been tested by research so less regulation is needed, but CAM is religiously based and highly regulated. c. is controlled by the health care industry, but CAM is the people's medicine and not motivated by profit. d. is holistic and focused on health promotion, whereas CAM treats illnesses and is symptom-specific.