A type 1 diabetic who is at 32 weeks' gestation is having a ...

[bucstennis@aim.com]

A type 1 diabetic who is at 32 weeks' gestation is having a nonstress test for fetal well-being because she has been having problems with glucose control. Which of the following meets the criteria for her test to be considered reactive?
 
  1. Fetal heart rate baseline of 150 with two accelerations to 160 for 10 seconds within 20 minutes
  2. Fetal heart rate baseline of 140 with one acceleration to 160 for 15 seconds within 30 minutes
  3. Fetal heart rate baseline of 140 with two accelerations to 155 for 15 seconds within 20 minutes
  4. Fetal heart rate baseline of 130 with two accelerations to 140 for 15 seconds within 20 minutes

Question 2

The nurse needs to administer a medication to a 4-year-old child. The medication is only available in tablet form. The nurse should
 
  1. place the tablet on the child's tongueand give the child a drink of water.
  2. break the tablet in small pieces andask the child to swallow the pieces one by one.
  3. crush the tablet and mix it in ateaspoon of applesauce.
  4. crush the tablet and mix it in a cupof juice.

[owenfalvey]

Answer to Question 1

3
Rationale 1: A fetal heart rate baseline of 150 with two accelerations to 160 for 10 seconds within 20 minutes is an increase of only 10 beats per minute.
Rationale 2: A fetal heart rate baseline of 140 with one acceleration to 160 for 15 seconds within 30 minutes is an increase of 20 beats per minute for 15 seconds in 30 minutes. This is not considered reactive.
Rationale 3: A fetal heart rate baseline of 140 with two accelerations to 155 for 15 seconds within 20 minutes is perfect: 15 beats per minute for 15 seconds in 20 minutes.
Rationale 4: A fetal heart rate baseline of 130 with two accelerations to 140 for 15 seconds within 20 minutes is an increase of 10 beats per minute.

Answer to Question 2

Answer:3
Rationale: A 4-year-old is not mature enough to swallow a pill or pieces of a pill. The medication should be crushed and mixed with a very small amount of food, not juice.

[bucstennis@aim.com]

Excellent

[nanny]

TYSM