Pharmacology and the Nursing Process
7th EditionJulie S Snyder, Linda Lilley, Shelly Collins
382 solutions
The Human Body in Health and Disease
7th EditionGary A. Thibodeau, Kevin T. Patton
1,505 solutions
Health
16th EditionRebecca J. Donatelle
391 solutions
An Introduction to Community and Public Health
9th EditionDenise Seabert, James McKenzie, Robert Pinger
470 solutions
-
Flashcards
-
Learn
-
Test
-
Match
-
Flashcards
-
Learn
-
Test
-
Match
Terms in this set [10]
1. Fetal bradycardia is most common during:
A. Maternal hyperthyroidism.
B. Fetal anemia.
C. Viral infection.
D. Tocolytic treatment using ritodrine.
C] Viral infection. Correct
Fetal bradycardia can be considered a later sign of fetal hypoxia and is known to occur before fetal death. Bradycardia can result from placental transfer of drugs, viral infections such as cytomegalovirus [CMV], maternal hypothermia, and maternal hypothermia. Maternal hyperthyroidism, fetal anemia, and tocolytic treatment using ritodrine will most likely result in fetal tachycardia.
The nurse providing care for the laboring woman understands 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.
A. Are reassuring. Correct
Episodic accelerations in the fetal heart rate [FHR] occur during fetal movement and are indications of fetal well-being; they do not warrant close observation. Umbilical cord compression results in variable decelerations in the FHR. Uteroplacental insufficiency would result in late decelerations in the FHR.
The most common cause of decreased variability in the FHR that lasts 30 minutes or less is:
A. Altered cerebral blood flow.
B. Fetal hypoxemia.
C. Umbilical cord compression.
D. Fetal sleep cycles.
D. Fetal sleep cycles. Correct
A temporary decrease in variability can occur when the fetus is in a sleep state. These sleep states do not usually last longer than 30 minutes. Altered fetal cerebral blood flow results in early decelerations in the FHR, and umbilical cord compression in variable decelerations. Fetal hypoxemia is evidenced by tachycardia initially and then bradycardia. A persistent decrease or loss of FHR variability may be seen.
You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly you see the fetal heart rate [FHR] drop from its baseline of 125 down to 80. You reposition the mother, provide oxygen,
increase IV fluid, and perform a vaginal exam. The cervix has not changed. Five minutes have passed, and the FHR remains in the 80s. What additional nursing measures should you take?
A. Call for help.
B. Insert a Foley catheter.
C. Start oxytocin [Pitocin].
D. Notify the primary health care provider immediately.
D. Notify the primary health care provider immediately. Correct
To relieve an FHR deceleration the nurse can reposition the mother,
increase IV fluid, and provide oxygen. Also, if oxytocin is being infused, it should be discontinued. If the FHR does not resolve, the primary health care provider should be notified immediately. Although it is always a good idea to have extra help during any unanticipated obstetric event, calling for help is not the most important nursing measure at this time. If the FHR were to continue in an abnormal or nonreassuring pattern, a cesarean section might be warranted. This would require the
insertion of a Foley catheter; however, the physician must make that determination. Oxytocin may put additional stress on the fetus.
Awarded
When using intermittent auscultation [IA] to assess uterine activity, nurses should be aware that:
A. The examiner's hand should be placed over the fundus before, during, and after contractions.
B. The frequency and duration of contractions are measured in seconds for consistency.
C.
Contraction intensity is given a judgment number of 1 to 7 by the nurse and client together.
D. The resting tone between contractions is described as either placid or turbulent.
A. The examiner's hand should be placed over the fundus before, during, and after contractions. Correct
The assessment is done by palpation; duration, frequency, intensity, and resting tone must be assessed. The duration of contractions is measured in seconds; the frequency is measured in minutes. The intensity of contractions usually is described as mild, moderate, or strong. The resting tone usually is characterized as soft or relaxed.
A nurse caring for a woman in labor understands that increased variability of the fetal heart rate might be caused by:
A. Narcotics.
B. Barbiturates.
C. Methamphetamines.
D. Tranquilizers.
C. Methamphetamines. Correct
The use of illicit drugs such as cocaine or methamphetamines might cause increased variability. Maternal ingestion of narcotics and tranquilizer use may be the causes of decreased variability. The use of barbiturates may also result in a significant decrease in variability as these drugs are known to cross the placental barrier.
Which of the following statements is not used to describe a characteristic of a uterine contraction?
A. Frequency [how often
contractions occur]
B. Intensity [the strength of the contraction at its peak]
C. Resting tone [the tension in the uterine muscle]
D. Appearance [shape and height]
D. Appearance [shape and height] Correct
Uterine contractions are described in terms of frequency, intensity, duration, and resting tone.
Awarded 0.0 points out of 1.0 possible points.
The nurse caring for a laboring woman is aware
that maternal cardiac output can be increased by:
A. Change in position.
B. Oxytocin administration.
C. Regional anesthesia.
D. Intravenous analgesic.
A. Change in position. Correct
Maternal supine hypotension syndrome is caused by the weight and pressure of the gravid uterus on the ascending vena cava when the woman is in a supine position. This pressure reduces venous return to the woman's heart, as well as cardiac output, and subsequently lowers her blood pressure. The nurse can encourage the woman to change positions and avoid the supine position. Oxytocin administration, regional anesthesia, and intravenous analgesic may all reduce maternal cardiac output
Fetal well-being during labor is assessed by:
A. The response of the fetal heart rate [FHR] to uterine contractions [UCs].
B. Maternal pain control.
C. Accelerations in the FHR.
D. An FHR greater than 110
beats/min.
A. The response of the fetal heart rate [FHR] to uterine contractions [UCs]. Correct
Fetal well-being during labor can be measured by the response of the FHR to UCs. In general, reassuring FHR patterns are characterized by an FHR baseline in the range of 110 to 160 beats/min with no periodic changes, a moderate baseline variability, and accelerations with fetal movement. Although FHR accelerations and an FHR greater than 110 beats/min may be reassuring, they are only two components of the criteria by which fetal well-being is assessed. More information is needed to determine fetal well-being.
A group of fetal monitoring experts [National Institute of Child Health and Human Development, 2008] recommends that fetal heart rate [FHR] tracings demonstrate certain characteristics to be described as reassuring or normal [category I]. These characteristics include:
A. Bradycardia not
accompanied by baseline variability.
B. Early decelerations, either present or absent. Correct
C. Sinusoidal pattern.
D. Tachycardia.
B. Early decelerations, either present or absent. Correct
Early decelerations, the absence of late decelerations, and the presence of accelerations indicate a normal category I tracing. Bradycardia not accompanied by variability is a category II tracing, as is fetal tachycardia. A sinusoidal pattern is considered an ominous sign and is definitely an abnormal category III tracing.
Sets with similar termsChapter 18 OB
10 terms
Melanie_Borrelli
Chapter 18: Fetal Assessment During Labor
37 terms
Victoria_Crewdson
Fetal Assessment During Labor NCLEX
37 terms
natashakress
Fetal Assessment During Labor NCLEX
37 terms
Kitkatkait9
Sets found in the same folderChapter 17: Maximizing Comfort for the Laboring Wo…
34 terms
nursestudent17
Chapter 16: Labor and Birth Processes
28 terms
nursestudent17
Chapter 19: Nursing Care of the Family During Labo…
42 terms
Henk_S2
Chapter 18: Fetal Assessment During Labor
36 terms
nursestudent17
Other sets by this creatorChapter 23
25 terms
chrissymag21
Chater 19
25 terms
chrissymag21
Chapter 24
25 terms
chrissymag21
Chapter 21
25 terms
chrissymag21
Recommended textbook solutionsPharmacology and the Nursing Process
7th EditionJulie S Snyder, Linda Lilley, Shelly Collins
382 solutions
Medical Assisting: Clinical Procedures
7th EditionKathryn A Booth, Leesa Whicker, Terri D Wyman
861 solutions
An Invitation to Health, Brief Edition
10th EditionDianne Hales
250 solutions
Dunmore and Fleischer's Medical Terminology Exercise in Etymology
3rd EditionCharles W Dunmore, Cheryl Walker-Esbaugh, Laine H McCarthy, Rhonda A Sparks, Rita M Fleischer
1,985 solutions
Other Quizlet setsNewborn Exam
75 terms
KC_WALLS
SS22PJDWB - Premium Jeep Delivery
13 terms
MilesZH23
EV3 Robotics Lego Vocabulary
14 terms
Lindsay_Stagg
OT 109 [ Hand Anatomy Common Conditions, Assessmen…
85 terms
abi_cummings
Related questionsQUESTION
what are the nursing interventions for shoulder dystocia?
15 answers
QUESTION
What are the fetal indications for a cesarean birth?
9 answers
QUESTION
What are the potential epidural side effects?
12 answers
QUESTION
what is the clinical presentation of uterine rupture?
13 answers