Decelerations
A gradual decrease in fetal heart rate that mirrors the pattern of uterine contractions?
What is Early Deceleration
A nurse is assessing a fetal heart rate tracing and notes a baseline of 130 beats per minute. How should the nurse interpret this finding?
Normal FHR
What category findings does this fall under:
Baseline: 140 bpm
Variability: Moderate
Accelerations: Present
Decelerations: None
What is Cat I
A nurse notes recurrent Late decelerations on the FHR monitor. What is the priority nursing action?
What is reposition the left side
A nurse is reviewing FHR patterns. Which finding is considered a normal acceleration?
A gradual decrease in fetal heart rate that begins after the start of uterine contraction and returns to baseline only after the contraction ends
What is a Late Deceleration
A nurse is monitoring the fetal heart rate of a client in labor and observes a late decelerations. What is an intervention the nurse will perform?
Reposition the client to her left side
What are FHR findings that classifies a FHR Category II
What is decelerations, excluding early deceleration and minimal variability
A Rh-negative mother gives birth to a Rh-positive baby. When should the nurse administer RhoGAM to prevent Rh sensitization
Within 72 hrs postpartum
What cervical dilation measurement is consistent with active labor
What is 4-7 cm
A decrease of 15 or more Bpm below the baseline, lasting at least 2 mins but less than 10 mins
What is prolonged deceleration?
A nurse is assessing a client who is in active labor. What is considered active labor?
Cervical dilation of 4-7 cm
What category am I:
Baseline: 140
Variability: Minimal
Accelerations: None
Decelerations: Variable
What is Category II
A nurse performs a vaginal exam and determines that the fetal occipital is facing toward the mother’s left anterior pelvis. How should the nurse document this fetal position?
What is Left occiput anterior (LOA)
A non-stress test is performed on a 36 weeks gestation patient. What results would be considered reactive (normal)?
What is at least two accelerations of 15 Bpm lasting 15 seconds within 20 mins
An abrupt visually apparent decrease in the fetal heart rate and not always related with an contraction
What is variable deceleration?
A nurse observes early decelerations on the fetal heart rate monitor. What is most likely the cause?
Fetal head compression
When the FHR changes from 130 to 115 for 10 mins
A postpartum client asks about vaginal bleeding after birth. The nurse explains that normal lochia rubra should:
Be red and last 3-4 days after delivery
Is an APGAR score, 1 min (8) and 5 min (9), good:True or False
True
Which deceleration can fall in a Category I criteria
What is a early deceleration?
A nurse is assessing a client at 32 weeks gestation who has been diagnosed with preeclampsia. What is findings requires immediate intervention?
Severe Headache and visual distrubances
What findings on FHR strip is classified as a Category III
Absent variability with recurrent late or variable decelerations, or bradycardia lasting 10 mins
A nurse is caring for a client immediately after delivery. What intervention is most effective in preventing postpartum hemorrhge
Performing fundal massage
What medicine is given to help prevent seizures with a patient that has PreEclampsia
What is Magnesium