Answer to Question 1
ANS: C
Baseline fetal heart tones can only be assessed during the absence of uterine activity. The preceptor should instruct the new nurse to listen for FHTs between contractions. The woman does not need internal FHT monitoring based on this assessment. The reading is inaccurate, so the nurse preceptor should not have the new nurse document these findings and this method (140/158) is not appropriate. The new nurse may have to count fetal heart tones for only 30 seconds if the woman is having frequent contractions, although assessing for 1 minute is the most accurate method.
Answer to Question 2
ANS: A
Causes of fetal tachycardia include fetal hypoxia, maternal fever, maternal medications (such as parasympathetic drugs and tocolytic drugs), infection, fetal anemia, and maternal hyperthyroidism. The nurse should quickly assess the maternal temperature and call the provider, as the tocolytic medication may need to be slowed or stopped. The findings do need to be documented, but further action is needed. The woman should not get up and walk, as this will further stimulate the fetus. Checking for cord compression is an important intervention with fetal bradycardia.
Nurse-patient interaction; nonveral communication
Summation of Heart Sounds, Paradoxical Splitting of S2
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Electrocardiography. (a) Electrodes are placed on the patient’s chest to record the electrical event
David Usher - Black Black Heart
Mechanisms of action of drugs used for heart failure.