During a nonstress test, when monitoring the fetal heart rate, ...

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During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increases 15 beats or more above the baseline. The nurse interprets this as:
 
  A) Variable decelerations
  B) Fetal tachycardia
  C) A nonreactive pattern
  D) Reactive pattern

Question 2

Which interventions should the nurse plan when caring for a child with a visual impairment? Select all that apply.
 
  a. Touch the child upon entering the room before speaking.
  b. Keep items in the room in the same location.
  c. Describe the placement of the eating utensils on the meal tray.
  d. Use color examples to describe something to a child who has been blind since
  birth.
  e. Identify noises for the child.

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Answer to Question 1

D
Feedback:
A reactive nonstress test indicates fetal activity, as evidenced by acceleration of the fetal heart rate by at least 15 bpm for at least 15 seconds within a 20-minute recording period. If this does not occur, the test is considered nonreactive. An increase in the fetal heart rate does not indicate variable decelerations. Fetal tachycardia would be noted as a heart rate greater than 160 bpm.

Answer to Question 2

B, C, E
Feedback
Correct Keep all items in the room in the same location and order. Describing how
many steps away something is or the placement of eating utensils on a tray
are both useful tactics. Identify noises for the child because children who
are visually impaired or blind often have difficulty establishing the source
of a noise.
Incorrect Never touch the child without identifying yourself and explaining what
you plan to do. When describing objects or the environment to a child who
is blind or visually impaired, use familiar terms. If the child has been blind
since birth, color has no meaning.

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Correct answers!

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