Risk factors and causes
Risk factors and causes ( 4 Questions)
A nurse is monitoring the fetal heart rate of a client who has a suspected occult cord prolapse.
Which of the following findings should the nurse expect?
Episodic accelerations are normal and indicate fetal well-being. They are not associated with cord prolapse.
Fibrillation is a cardiac arrhythmia that affects the atria or ventricles of the heart. It is not a term used to describe fetal heart rate patterns.
Moderate tachycardia is a fetal heart rate above 160 beats per minute for more than 10 minutes.
This is because occult cord prolapse occurs when the cord is compressed by the fetal presenting part, causing fetal hypoxemia. The fetal heart rate pattern may show severe bradycardia or severe variable decelerations, which indicate cord compression and fetal distress.
The correct answer is choice D. Severe variable decelerations.
This is because occult cord prolapse occurs when the cord is compressed by the fetal presenting part, causing fetal hypoxemia. The fetal heart rate pattern may show severe bradycardia or severe variable decelerations, which indicate cord compression and fetal distress.
Choice A is wrong because episodic accelerations are normal and indicate fetal well-being. They are not associated with cord prolapse.
Choice B is wrong because fibrillation is a cardiac arrhythmia that affects the atria or ventricles of the heart. It is not a term used to describe fetal heart rate patterns.
Choice C is wrong because moderate tachycardia is a fetal heart rate above 160 beats per minute for more than 10 minutes.
It can be caused by maternal fever, infection, dehydration, fetal anemia, or fetal hypoxia. It is not a specific sign of cord prolapse.
