Author Question: The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but the ... (Read 51 times)

brutforce · **on:** Jun 27, 2018

The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but the deceleration begins near the acme of the contraction and continues well beyond the end of the contraction.

Which nursing action indicates the proper evaluation of this situation? a. Continue to monitor these early decelerations, which occur as the fetal head is
compressed during a contraction.
b. This deceleration pattern is associated with uteroplacental insufficiency, so the
nurse acts quickly to improve placental blood flow and fetal oxygen supply.
c. This pattern reflects variable decelerations. No interventions are necessary at this
time.
d. Document this reassuring fetal heart rate pattern, but decrease the rate of the
intravenous fluid.

Question 2

A baby is born with blood type AB. The father is type A, and the mother is type B. The father asks why the baby has a blood type different from those of his parents. The nurse's answer should be based on the knowledge that

a. Both A and B blood types are dominant.
b. The baby has a mutation of the parents' blood types.
c. Type A is recessive and links more easily with type B.
d. Types A and B are recessive when linked together.

nyrave · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A These are late decelerations, not early; therefore interventions are necessary.
B This is a description of a late deceleration. Oxygen should be given via snug
facemask. Position the woman on her left side to increase placental blood flow.
C Variable decelerations are caused by cord compression. A vaginal examination
should be performed to identify this potential emergency.
D This is not a reassuring pattern, so the intravenous rate should be increased to
increase the mother's blood volume.

Answer to Question 2

A
Feedback
A Types A and B are equally dominant, and the baby can thus inherit one from
each parent.
B The infant has inherited both blood types from the parents; it is not a mutation.
C Both types A and B are equally dominant.
D Both types A and B are dominant.