Which client has the priority need for fetal monitoring? a. ...

[washai]

Which client has the priority need for fetal monitoring?
 
  a. Primigravida at 38 weeks with spontaneous ROM
  b. Multigravida at 40 weeks with history of 10-hour labors
  c. Multigravida admitted for repeat elective cesarean section
  d. Primigravida at 39 weeks with meconium-stained amniotic fluid

Question 2

What is the most likely cause for this fetal heart rate pattern?
 
  a. Administration of an epidural for pain relief during labor
  b. Cord compression
  c. Breech position of fetus
  d. Administration of meperidine (Demerol) for pain relief during labor

[momo1250]

Answer to Question 1

ANS: D
Meconium-stained amniotic fluid indicates a potential risk factor during labor. Primigravida at 38 weeks with spontaneous ROM, multigravida with a history of 10-hour labors, and multigravida admitted for repeat elective cesarean section do not have potential maternal or fetal risk factors.

Answer to Question 2

ANS: B
Variable deceleration patterns are seen in response to head compression or cord compression. A breech presentation would not be likely to cause this fetal heart rate pattern. Similarly, administration of medication and/or an epidural would not cause this fetal heart rate pattern.

[washai]

Thank you

[momo1250]

No problemo