Maternal Childhood Chapter 10 Review
An internal fetal monitor is applied while a client is in labor. What should the nurse explain about positioning while this monitor is in place?
The most comfortable position can be assumed.
A client is admitted to the birthing suite in early active labor. Which nursing action takes priority dueing the admission process?
Auscultating the fetal heart
During labor, a nurse identifies that there is an early fetal heart rate deceleration. How many fetal heartbeats per minute were there early in the contraction that indicated to the nurse that the deceleration occurred?
100 to 120.
A nurse is observing a reading on the external fetal monitoring of a client in active labor. Which fetal heart pattern indicates cord compression?
Abrupt decreases in fetal heart rate that are unrelated to the contractions.
When monitoring the FHR of a client in labor, the nurse identifies an elevation of 15 beats more than the baseline rate of 135 beats/min lasting for 15 seconds. How should the nurse document this event?
An acceleration.
After performing Leopold maneuver on a laboring client, a nurse determines that the fetus is in the right occiput posterior (ROP) position. Where shoulf the Doppler be placed to best ausculate fetal heart tones?
Blow the umbilicus on the right side.
A client's membranes rupture while her labor is being augmented with aab oxytocin infusion. A nurse observes variable decelerations in the fetal heart rate on the fetal monitor strip. What action shoulf the nurse take next?
Change the client's position.
A clent in active labor has an external fetal monitor in place. Using the monitor strip below, identify the correct assessment.
FHR basline at 150 beats/min.
What is a common problem that confronts the client in labor when an external fetal monitoring has been applied to her abdomen?
Intrusion on movement
An external monitor is placed on the abdomen of a client admitted in active labor. The nurse identifies that during each contraction, the fetal heart rate decelerates as the contraction peaks. What should the nurse do next?
Monitor the fetal heart rate until it returns to baseline when the contraction ends.
A 36-year-oldprimigravida, accompanied by her husband, is admitted to the birthing unit at 39 weeks' gestation. External fetal monitoring is instituted. What should the nurse consider when a fetus is being monitored?
The machinery may be frightening to a laboring couple.
A client in labor begins to experience contractions 2 to 3 miutes apart that last about 45 seconds. Between conctractions the nurse identifies a fetal heart rate of 100 beats/min in the interal fetal monitor. What is the next nursing action?
Notify the health care provider.
During labor, a client has an internal fetal monitor applied. What fetal heart rate should most concern the nurse?
Returns to baseline heart rate after a contraction ends.
At 38 weeks' gestation, a client us admitted to the birthing unit in active labor, and an external fetal monitor is applied. Late fetal heart rate decelerations begin to appear when her cervix is dilated 6 cm, with contractions occurring every 4 minutes and lasting 45 seconds. What does the nurse conclude os the cause of these late decelerations?
Uteroplacental insufficiency.
