Nonreassuring fetal status often occurs with a tachysystole ...

[TFauchery]

Nonreassuring fetal status often occurs with a tachysystole contraction pattern.
 
  Intrauterine resuscitation measures may become warranted and can include which of the following measures? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Position the woman on her right side.
  2. Apply oxygen via face mask.
  3. Call for anesthesia provider for support.
  4. Increase intravenous fluids by at least 700 mL bolus.
  5. Call the physician/CNM to the bedside.

Question 2

The nurse is caring for a 41-weeks'-gestation infant born yesterday. The newborn's hematocrit is 75. The best action by the nurse based on this finding is to:
 
  1. Inform the parents that their baby has an abnormal lab value.
  2. Call the physician and report the hematocrit level.
  3. Notify the blood bank that a transfusion will be required.
  4. Increase breastfeeding frequency, and supplement between feedings.

[vickybb89]

Answer to Question 1

2, 3, 4
Explanation: 2. The nurse would apply oxygen via face mask.
3. The nurse would call for anesthesia provider for support.
4. The nurse would increase intravenous fluids by at least 500 mL bolus.

Answer to Question 2

2
Rationale 1: This answer is too vague. Parents need to know specifics, but described in lay terms.
Rationale 2: Polycythemia is a hematocrit above 65 and has the potential for serious sequelae, including stroke and respiratory distress. This infant requires a partial exchange transfusion to treat the polycythemia.
Rationale 3: This infant is not anemic but polycythemic. A partial exchange transfusion using crystalloids is the treatment.
Rationale 4: Increasing fluid intake will not improve the polycythemia. A partial exchange transfusion using crystalloids is the treatment.