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Author Question: After performing a vaginal examination on a laboring woman, the nurse charts: 80 percent, 5 cm, -1 . ... (Read 84 times)

ereecah

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on: Jun 27, 2018
After performing a vaginal examination on a laboring woman, the nurse charts: 80 percent, 5 cm, -1 . Which is a correct interpretation of the data?
 
  a. Fetal presenting part is at the ischial spines.
  b. Effacement is 3 centimeters from completion.
  c. Dilation is 50 percent completed.
  d. Effacement and dilation of the cervix is complete.

Question 2

The nurse providing care for the laboring woman should understand that variable fetal heart rate (FHR) decelerations are caused by:
 
  a. Altered fetal cerebral blood flow.
  b. Umbilical cord compression.
  c. Uteroplacental insufficiency.
  d. Fetal hypoxemia.


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stano32

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Reply #1 on: Jun 27, 2018
Answer to Question 1

C
Complete cervical dilation is 10 cm, so this client's dilation is 50 percent complete. When fetal presenting part is at the ischial spines, the fetus would be at 0 station, but in this case the fetus is at -1 . Effacement refers to thinning of the cervix and is recorded in percentage not centimeters. This client is only effaced by 80 percent, so effacement is incomplete.

Answer to Question 2

B

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A Altered fetal cerebral blood flow would result in early decelerations in the FHR.
B Variable decelerations can occur any time during the uterine contracting phase and are caused by compression of the umbilical cord.
C Uteroplacental insufficiency would result in late decelerations in the FHR.
D Fetal hypoxemia would result in tachycardia initially and then bradycardia if hypoxia continues.


ereecah

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Reply 2 on: Jun 27, 2018
Wow, this really help

tanna.moeller

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Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

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