Question

A nurse is assessing the results of a nonstress test for an antepartal client at 35...

  1. A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in response to fetal movement within a 40-min testing period

Irregular contractions of 10 to 20 seconds in duration that are not felt by the client

No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in duration within a 10-min testing period

Three fetal movements perceived by the client in a 20-min testing period

.

2. . A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?

Increase the infusion rate every 30 to 60 min.

Maintain the client in a supine position.

Titrate the infusion rate by 4 milliunits/min.

Limit IV intake to 4 L per 24 hr.

A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.

A. Meconium – start fluid

B. placenta previa

C. Midline episiotomy

D. Gestational hypertension

Homework Answers

Answer #1

ANSWER- IRREGULAR CONTRACTIONS OF 10-29 SECONDS IN DURATION THAT ARE NOT FELT BY THE CLIENT - THERE IS A NEED OF CONTRACTION STRESS TEST BECAUSE PATIENTS HAVE CONTRACTION DURING NST( BRAXTONHICKS CONTRACTION). TO ANY FETAL DISTRESS PRESENTED WITH CONTRACTIONS, TO DO CONTRACTION STRESS TEST * OTHER OPTIONS ARE THE NORMAL FINDINGS OF NST THEY ARE: * NO LATE DECLARATION IN THE FETAL HEART RATE NOTED WITH THREE UTERINE CONTRACTIONS OF 60 SECONDS IN DURATION WITHIN A 10 MIN TESTING PERIOD. * AN INCREASE IN FETAL HEART RATE TO 150/ MINUTE ABOVE THE BASELINE OF 140/ MINUTES LASTING 10 SECONDS IN RESPONSE TO FETAL MOVEMENT WITHIN A 40 MIN TESTING PERIOD. * IT IS CONSIDERED AS THREE FETAL MOVEMENTS PERCEIVED BY THE CLIENT IN A 20 MINUTES TESTING PERIOD.

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