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Question 31 after noting meconium stained amniotic

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Question 31After noting meconium-stained amniotic fluid, fetal heart rate decelerations, and a fetal blood pH of 7.20, thephysician diagnoses a severely depressed fetus. The appropriate nursing action at this time would be to:1.Increase the mother's oxygen rate.2.Turn the mother to the left lateral position.3.Prepare the mother for a forceps or cesarean birth.4.Increase the intravenous infusion rate.Correct Answer:Rationale 1: Use of oxygen is not a nursing action that would change the status of the severely depressed fetus.Rationale 2: Position change to the left side is not a nursing action that would change the status of the severelydepressed fetus.Rationale 3:Meconium-stained fluid, heart rate decelerations, and a pH of 7.20 are all indications thatdelivery must be performed without delay.Rationale 4: Increasing the IV rate is not a nursing action that would change the status of the severely depressedfetus.3
Question 32The nurse is aware that a fetus that is not in any stress would respond to a fetal scalp stimulation test by showingwhich change on the monitor strip?3
Rationale 3:A fetus that is not experiencing stress responds to scalp stimulation with an acceleration of theFHR.Rationale 4: Increased long-term variability is a parameter assessed when there is a questionable FHR patternbecause long-term variability, when normal, can indicate that the fetus is not suffering from cerebral asphyxia.Question 33The primigravida patient is in the second stage of labor. The fetal heart rate baseline is 170, with minimalvariability present. The nurse performs fetal scalp stimulation. The patient's partner asks why the nurse did that.What is the best response by the nurse? "I stimulated the top of the baby's head to:2
Question 34The primary care provider is performing a fetal scalp stimulation test. What result would the nurse hope toobserve?Standard Text:Select all that apply.
5.Reactivity associated with the stimulation
Rationale 1: There is spontaneous fetal movement at all times.Rationale 2:The fetal heart rate should accelerate with stimulation.Rationale 3: Stimulation should not increase variability.Rationale 4: Stimulation is not related to decelerations.Rationale 5:There will be some reaction with the stimulation.
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