N352 Exam 1 Review Questions Guide And Verified AnswersGraded A+.

What are late FHR decelerations caused by? 1. altered cerebral blood flow 2. umbilical cord compression 3. placental insufficiency 4. meconium fluid - correct answer 3. placental insufficiency A patient in labor is undergoing an epidural block and is given IV fluid. What is the purpose of this? 1. to treat hypotension that results from hemorrhage 2. to increase urine output 3. to treat insensible fluid losses 4. to treat hypotension that results from sympathetic blockade - correct answer 4. to treat hypotension that results from sympathetic blockade the nurse is caring for a patient who is in labor and being externally monitored. what should the nurse do after noting early decelerations of the FHR? 1. anticipate a c-section birth 2. turn patient onto left side 3. continue to monitor the patient 4. notify the physician or nurse midwife immediately - correct answer 3. continue to monitor the patient a patient who was admitted to the delivery room undergoes an ultrasound, which reveals that the scram is the presenting part, the lie is longitudinal, with both hips and knees in flexion. which describes the fetal presentation? 1. cephalic 2. complete breech 3. frank breech 4. footling breech - correct answer 2. complete breech members of the labor and delivery unit are reviewing principles of electronic fetal monitoring. which facts are regarded as accurate? (select all that apply) 1. the normal FHR is 110-160 bpm 2. a FHR of 130 is considered tachycardia 3. an acceleration of FHR are considered a sign of fetal well being 4. a deceleration of FHR may be benign, depending on when it occurs in relation to uterine contractions - correct answer 1. the normal FHR is 110-160 bpm 3. an acceleration of FHR are considered a sign of fetal well being 4. a deceleration of FHR may be benign, depending on when it occurs in relation to uterine contractions an early deceleration is usually a result of descent and pressure on the fetal head. assessment of descent may be assessed by: 1. palpation of the abdomen 2. vaginal exam 3. ultrasound 4. auscultation of uterus - correct answer 2. vaginal exam the nurse is caring for a 34-year old G4P3 experiencing a prolonged labor. the physician performed an amniotomy 3 hours ago to stimulate the progression of labor. the patient's most recent vaginal exam was 8/80/0. which assessment finding should the nurse be most concerned about? 1. pain score of 7/10 2. FHR baseline of 165 3. mild variable decelerations 4. increased bloody mucous discharge - correct answer 2. FHR baseline of 165 the nurse is caring for a G5P4 who has been 3 cm dilated for 2 hours. the uterine contractions are every 5 min. and mild to palpation. which is the most appropriate nursing action? 1. administer ordered IV pain medication 2. assist the patient with frequent position changes 3. prepare patient for epidural anesthesia 4. prepare patient for a c-section delivery - correct answer 2. assist the patient with frequent position changes the nurse is assessing her patient who is 1 day postpartum. the nurse notes that the fundus is firm and at midline, the lochia is moderate in amount and the presence of ruby with 2 dime-sized clots is on her peri-pad. what should the nurse determine from these assessment findings? 1. they are normal 2. locate the level of the fundus 3. assist the woman to the bathroom to empty her bladder 4. massage the fundus - correct answer 1. they are normal a nurse is taking care of a G2P2 woman with a 3rd degree perineal tear during the 4th stage of labor. the nurse should include which intervention in the plan of care during her 12 hour shift? 1. assess VS every 4 hours 2. keep patient NPO for first 12 hours 3. catheterize patient