The most appropriate initial treatment for variable decelerations ...

[iveyjurea]

The most appropriate initial treatment for variable decelerations is to
 
  a. apply a fetal scalp electrode c. change maternal po-sition
  b. apply oxygen by face mask d. increase the IV rate

Question 2

Vaginal examinations should be performed by the nurse under all of these circumstances except:
 
  a. An admission to the hospital at the start of labor.
  b. When accelerations of the fetal heart rate (FHR) are noted.
  c. On maternal perception of perineal pressure or the urge to bear down.
  d. When membranes rupture.

[elizabethrperez]

Answer to Question 1

C
A maternal position change usually will help relieve cord compression causing the variable decelerations. Administering oxygen and increasing the IV rate may not be needed interventions until the FHR is assessed after a maternal position change.

Answer to Question 2

B

Feedback
A Vaginal examinations should be performed when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when a significant change in her uterine activity has occurred, or when variable decelerations of the FHR are noted.
B An accelerated FHR is a positive sign; however, variable decelerations merit a vaginal examination.
C Vaginal examinations should be performed when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when a significant change in her uterine activity has occurred, or when variable decelerations of the FHR are noted.
D Vaginal examinations should be performed when the woman is admitted, when she perceives perineal pressure or the urge to bear down, when her membranes rupture, when a significant change in her uterine activity has occurred, or when variable decelerations of the FHR are noted.

[iveyjurea]

Thanks for the timely response, appreciate it

[shewald78]

Excellent