Ati pn maternal newborn 2023

Ati pn maternal newborn 2023 ( 50 Questions)

A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy. Which of the following findings indicates that the fetus is at risk?



Correct Answer: A

Choice A rationale

 

This finding indicates fetal distress. Recurrent variable decelerations in the fetal heart rate (FHR) can be a sign of umbilical cord compression, which can compromise fetal oxygenation.

 

Choice B rationale

 

Uterine contractions every 6 minutes are within the normal range for the latent phase of labor and do not indicate fetal risk.

 

Choice C rationale

 

Moderate variability of the FHR is a reassuring sign and suggests that the fetus is well-oxygenated and neurologically intact.

 

Choice D rationale

 

Uterine contractions lasting 30 to 45 seconds are typical for the latent phase of labor and do not indicate fetal distress.

 




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