Author Question: A client presents to labor and delivery for evaluation. Upon placing her on the monitor, you find ... (Read 61 times)

ap345 · **on:** Jun 27, 2018

A client presents to labor and delivery for evaluation. Upon placing her on the monitor, you find the fetal heart rate to be consistently 170 to 180 bpm. What should the nurse do first?

a. Apply a fetal scalp electrode.
b. Apply oxygen at 10 liters per minute by face mask.
c. Prepare for cesarean delivery.
d. Take the mother's temperature.

Question 2

When is the best time to determine gestational age based on biparietal diameter through ultrasound?

a. 4 to 6 weeks
b. 5 to 7 weeks
c. 7 to 10 weeks
d. 12 to 20 weeks

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

Answer to Question 1

D
A cause of fetal tachycardia may be maternal infection, so assessing the mother's temperature is a priority in this situation. Applying a fetal scalp electrode is appropriate for internal fetal monitoring, but is not the appropriate action for the information presented. Applying oxygen at 10 liters per minute by face mask and preparing for cesarean delivery are not appropriate actions.

Answer to Question 2

D
Feedback
A During this time frame, the gestational age is determined by measuring the
crown-rump length.
B During this time frame, the gestational age is determined by measuring the
crown-rump length.
C During this time frame, the gestational age is determined by measuring the
crown-rump length.
D The biparietal diameter, a method of assessing gestational age during the last half
of pregnancy, is most accurate from 12 to 20 weeks.