A nurse is analyzing several fetal heart rate patterns. The ...

[tsand2]

A nurse is analyzing several fetal heart rate patterns. The pattern that would be of most concern to the nurse would be:
 
  1. Moderate long-term variability.
  2. Early decelerations.
  3. Late decelerations.
  4. Accelerations.

Question 2

At 1 minute after birth the nurse assesses the infant and notes: a heart rate of 80 beats/min, some flexion of extremities, a weak cry, grimacing, and a pink body but blue extremities. The nurse would calculate an Apgar score of:
 
  a. 4.
  b. 5.
  c. 6.
  d. 7.

[brittiany.barnes]

Answer to Question 1

3
Rationale:
1. Moderate long-term variability is a reassuring sign that the fetus is not suffering from cerebral asphyxia.
2. Early decelerations occur before the onset of the uterine contraction. Early deceleration is usually considered to be benign.
3. Late decelerations are caused by uteroplacental insufficiency. The late deceleration pattern is considered a nonreassuring sign.
4. Accelerations are thought to be a sign of fetal well-being.

Answer to Question 2

B

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A Each of the five signs the nurse noted would score a 1 on the Apgar scale, for a total of 5.
B Each of the five signs the nurse noted would score a 1 on the Apgar scale, for a total of 5.
C Each of the five signs the nurse noted would score a 1 on the Apgar scale, for a total of 5.
D Each of the five signs the nurse noted would score a 1 on the Apgar scale, for a total of 5.