Author Question: The nurse providing care for the laboring woman comprehends that accelerations with fetal movement: ... (Read 72 times)

brutforce · **on:** Jun 28, 2018

The nurse providing care for the laboring woman comprehends that accelerations with fetal movement:

a. Are reassuring.
b. Are caused by umbilical cord compression.
c. Warrant close observation.
d. Are caused by uteroplacental insufficiency.

Question 2

The nurse caring for the laboring woman should understand that early decelerations are caused by:

a. Altered fetal cerebral blood flow. c. Uteroplacental insufficiency.
b. Umbilical cord compression. d. Spontaneous rupture of membranes.

aloop · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Episodic accelerations in the fetal heart rate (FHR) occur during fetal movement and are indications of fetal well-being. Umbilical cord compression results in variable decelerations in the FHR. Accelerations in the FHR are an indication of fetal well-being and do not warrant close observation. Uteroplacental insufficiency would result in late decelerations in the FHR.

Answer to Question 2

ANS: A
Early decelerations are the fetus's response to fetal head compression. Variable decelerations are associated with umbilical cord compression. Late decelerations are associated with uteroplacental insufficiency. Spontaneous rupture of membranes has no bearing on the fetal heart rate unless the umbilical cord prolapses, which would result in variable or prolonged bradycardia.