Author Question: The nurse observes early decelerations on the fetal monitor. What action should the nurse take? ... (Read 75 times)

mydiamond · **on:** Jun 27, 2018

The nurse observes early decelerations on the fetal monitor. What action should the nurse take?

a. Document the observations. c. Change the woman's position.
b. Administer oxygen via mask. d. Check the maternal vital signs.

Question 2

A child with severe gastroenteritis is being admitted to a semiprivate room on the pediatric unit. The nurse in charge should place this client with which roommate?

1. An infant with meningitis
2. A child with fever and neutropenia
3. Another child with gastroenteritis
4. A child recovering from an appendectomy

JYan · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Early decelerations during the second stage of labor and in the presence of adequate descent of the presenting part are manifestations of normal response by the fetus to pressure on the head caused by uterine contractions. The nurse's responsibility at this time is to document and observe. Changing the woman's position and vital signs or administering oxygen are not necessary. These are normal responses by the fetus to pressure on the head caused by uterine contractions during early decelerations.

Answer to Question 2

3
Rationale:
1. An infant with meningitis should not be placed with another child with an infectious process.
2. A child with fever and neutropenia should not be placed with another child with an infectious process.
3. Gastroenteritis can be viral or bacterial, and can be infectious. It is best to cohort children with this infectious process. Good handwashing is essential to prevent the spread.
4. A child recovering from an appendectomy should not be placed with another child with an infectious process.