The nurse auscultates the FHR and determines a rate of 112 ...

[Alainaaa8]

The nurse auscultates the FHR and determines a rate of 112 beats/min. Which action is appropriate?
 
  1. Inform the maternal client that the rate is normal.
  2. Reassess the FHR in 5 minutes because the rate is low.
  3. Report the FHR to the doctor immediately.
  4. Turn the maternal client on her side and administer oxygen.

Question 2

The nurse explains to a preconception class that if only a small volume of sperm is discharged into the vagina, an insufficient quantity of enzymes might be released when they encounter the ovum.
 
  In that case, pregnancy would probably not result, because of which of the following? 1. Peristalsis of the fallopian tube would decrease, making it difficult for the ovum to enter the uterus.
  2. The block to polyspermy (cortical reaction) would not occur.
  3. The fertilized ovum would be unable to implant in the uterus.
  4. Sperm would be unable to penetrate the zona pellucida of the ovum.

[tdewitt]

Answer to Question 1

1
Explanation: 1. A fetal heart rate of 112 beats/min. falls within the normal range of 110-160 beats/min., so there is no need to inform the doctor.

Answer to Question 2

4
Explanation: 4. About a thousand acrosomes must rupture to clear enough hyaluronic acid for even a single sperm to penetrate the ovum's zona pellucida successfully. If only a small amount of sperm were released, there most likely would be an insufficient quantity of acrosomes to penetrate the zona pellucida of the ovum and allow fertilization.

[Alainaaa8]

Thank you

[tdewitt]

Happy to help you