NCLEX Maternal Newborn || With complete solutions.

Causes of Late Decelerations correct answers Decreased blood flow to uterus or placenta resulting in fetus not receiving enough oxygen Cause of Variable decelerations correct answers umbilical cord compression Cause of Early Decelerations correct answers fetal head compression in birth canal Manifestations of Early Decelerations correct answers - uniform shape - slow onset - mirror contractions - return to baseline at end of contraction Manifestations of Late Decelerations correct answers - loss of HR variability - begin after peak of contraction - slow return to baseline - resolves after contraction Manifestations of Variable Decelerations correct answers - irregular and jagged appearance - no regard to contractions - potentially caused by: fetal movement, umbilical cord wrapped around neck, maternal position, ruptured membranes Nursing Interventions for fetal heart rate decelerations correct answers - Assess FHR baseline, variability, and reactivity Q15min during active labor - Contraction pattern, labor progress, and vital signs (including pain) Q15mins during active labor Nursing interventions for Variable decelerations correct answers - reposition mom (Left lateral position) - vaginal exam - administer oxygen - increase IV fluid intake Nursing intervention for Late Decelerations correct answers - Notify HCP - Change maternal position - increase IV rate - administer oxygen - decrease or stop oxytocin - emergent delivery by C-section Preeclampsia correct answers - begins after 20 weeks - BP > 140/90 - proteinuria - transient headaches - irritability - edema Risk factors for Preeclampsia correct answers - Hx of Preeclampsia