Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 17: Intrapartum Fetal Surveillance Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+

Maternal Child Nursing 5th Edition by McKinney- ISBN- 978-0323401708 TEST BANK Chapter 17: Intrapartum Fetal Surveillance Verified 2024 Practice Questions and 100% Correct Answers with Explanations for Exam Preparation, Graded A+ The nurse sees this pattern on the fetal monitor. What action by the nurse is most appropriate? a. Apply oxygen via face mask, and position the woman on her left side. b. Document the findings in the chart along with maternal vital signs. c. Prepare to start an infusion of oxytocin per unit protocol. d. Decrease the rate of the woman’s IV maintenance fluids. ANS: A This tracing shows a late deceleration. The mother should be given oxygen and positioned onher left side. The findings should be documented, but only after interventions have occurred. Oxytocin would increase uterine activity (and increase stress on the fetus) so should not be started, or if already running, discontinued. IV fluids should be increased. PTS: 1 DIF: Cognitive Level: Analysis REF: Figure 17.10 OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity 2. Which maternal condition is considered a contraindication for the application ofinternal monitoring devices? a. Unruptured membranes b. Cervix is dilated to 4 cm c. External monitors are currently being used d. Fetus has a known heart defect ANS: A To apply internal monitoring devices, the membranes must be ruptured. Cervical dilation of 4cm permits the insertion of fetal scalp electrodes and intrauterine catheter. The external monitor can be discontinued after the internal ones are applied. A compromised fetus should be monitored with the most accurate monitoring devices. PTS: 1 DIF: Cognitive Level: Comprehension/UnderstandingREF: p. 338 OBJ: Nursing Process: Planning MSC: Client Needs: Physiologic Integrity