This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse assesses fetal heart tones at 100 beats/minute. Which action by the nurse takes priority? ... (Read 91 times)

Bob-Dole

  • Hero Member
  • *****
  • Posts: 547
on: Jun 28, 2018
A nurse assesses fetal heart tones at 100 beats/minute. Which action by the nurse takes priority?
 
  A.
  Administer 100 oxygen.
  B.
  Assess the maternal heart rate.
  C.
  Notify the primary care provider.
  D.
  Turn the woman on her left side.

Question 2

A nurse has assessed baseline fetal heart tones (FHTs) by auscultation and documents a funic souffl of 158 beats/minute and a uterine souffl of 90 beats/minute.
 
  When the first nurse gives a handoff report to an oncoming nurse, what can the second nurse conclude from this information?
  A.
  Fetal and maternal heart rates are outside of normal limits.
  B.
  Fetal and maternal heart rates are within normal limits.
  C.
  The second nurse cannot distinguish between fetal and maternal heart rates.
  D.
  There is a great deal of fetal heart rate variability between contractions.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Mochi

  • Sr. Member
  • ****
  • Posts: 300
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
Causes of fetal bradycardia include late fetal hypoxia, medications (beta blockers), maternal hypotension, prolonged umbilical cord/fetal head compression, fetal bradyarrhythmias, uterine hyperstimulation, abruptio placentae, uterine rupture or vasa previa, or vagal stimulation during the second stage of labor. However, it is also possible that the maternal heart tones are mistakenly counted as fetal heart tones. The first action by the nurse is to assess the maternal heart rate to confirm that it is not being counted as the fetal heart rate. This is done whether the nurse is using a fetoscope or external fetal monitoring.

Answer to Question 2

ANS: B
Fetal heart tones (funic souffl) should be in the range of 110 to 160 beats/minute, so FHTs are within normal limits. The maternal heart rate (uterine souffl) is also within normal limits.


Bob-Dole

  • Member
  • Posts: 547
Reply 2 on: Jun 28, 2018
Great answer, keep it coming :)

6ana001

  • Member
  • Posts: 311
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

The calories found in one piece of cherry cheesecake could light a 60-watt light bulb for 1.5 hours.

Did you know?

Human stomach acid is strong enough to dissolve small pieces of metal such as razor blades or staples.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Nurising history for heart assessment Nurising history for heart assessment
Movement of Sodium and Potassium Ions During the Action Potential Movement of Sodium and Potassium Ions During the Action Potential
Mobilize the space between metatarsals with a scissoring action. Hold the toe “knuckles” of ... Mobilize the space between metatarsals with a scissoring action. Hold the toe “knuckles” of ...
Drug Action Through Channels, via Voltage Changes or Chemicals Drug Action Through Channels, via Voltage Changes or Chemicals
Pulmonary Congestion, which May Result from Congestive Heart Failure Pulmonary Congestion, which May Result from Congestive Heart Failure
Chambers of the Heart Chambers of the Heart
Video: Amniocentesis and CVS Animation

For a complete list of videos, visit our video library