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A nurse is walking by a client's room and can hear the fetal heart rate dropping.
The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

A.

Uteroplacental insufficiency.

B.

Umbilical cord compression.

C.

Maternal bradycardia.

D.

Fetal head compression.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Uteroplacental insufficiency typically results in late decelerations, not a sudden drop in fetal heart rate, which is more commonly caused by umbilical cord compression.

 

Choice B rationale

Umbilical cord compression can cause variable decelerations, which are characterized by a sudden drop in fetal heart rate. This occurs due to the umbilical cord being compressed,

leading to decreased blood flow and oxygen to the fetus.

 

Choice C rationale

Maternal bradycardia refers to a slow maternal heart rate and does not directly cause changes in the fetal heart rate pattern.

 

Choice D rationale

Fetal head compression typically causes early decelerations, which are gradual decreases in fetal heart rate that occur with contractions and are usually benign.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Male condoms are effective in preventing pregnancy and sexually transmitted infections, but their reliability can be compromised by improper use or breakage.

Choice B rationale

Vaginal rings provide hormonal contraception and are effective, but they may be less reliable compared to implants due to potential for incorrect use.

Choice C rationale

Hormonal implants are highly reliable because they provide continuous contraception over an extended period (up to 3-5 years) with minimal user intervention.

Choice D rationale

Oral contraceptives are effective when taken correctly, but their reliability can be reduced by missed doses or incorrect use.

Correct Answer is B

Explanation

Choice A rationale

Turning the newborn's head quickly to one side elicits the tonic neck reflex, not the Moro reflex. The tonic neck reflex involves the newborn's arm extending on the side where the

head is turned and the opposite arm bending at the elbow, resembling a fencing position.

Choice B rationale

Performing a sharp hand clap near the infant elicits the Moro (startle) reflex, which is characterized by the infant throwing their arms outward, opening their hands, and then bringing

the arms back in. This is a response to sudden stimuli and is a normal reflex in newborns.

Choice C rationale

Stroking the outer edge of the sole of the foot from near the heel up toward the toes elicits the Babinski reflex, not the Moro reflex. The Babinski reflex is characterized by the big toe

moving upward or toward the top surface of the foot and the other toes fanning out.

Choice D rationale

Placing a finger at the base of the newborn's toes elicits the plantar grasp reflex, not the Moro reflex. The plantar grasp reflex involves the toes curling around the finger or object

placed at the base of the toes. .

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