FREE AND STUDY GAMES ABOUT BSN 346 NRS CONC III

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FREE AND STUDY GAMES ABOUT BSN 346 NRS CONC III

EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -38 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation Question 1: Which uterine contraction strength classification is used when labor is measured at >500 Montevideo units (MVUs)?Normal Moderate Hypotonic Hypertonic

Answer:

Hypertonic Question 2: strong intensity contraction assessed by palpation feels like:

Answer:

Fundus is rigid and nearly impossible to indent with fingertips (similar to pressing a finger to a forehead).

Question 3: Category I: Normal (reassuring)

Answer:

Reassuring patterns are associated with fetal well-being and indicate fetal tolerance of intrapartum stressors.

Question 4: Baseline FHR

Answer:

average heart rate calculated during a 10-minute interval. A minimum of 2 minutes of data within the 10-minute period is needed to calculate the FHR. The mean heart rate is rounded to the closest multiple of 5 beats/min.Question 5: Nurse assesses the FHR of pt who is lying supine and identifies a nonreassuring pattern. Which recommendation to address this pattern?"Elevate your legs." "Turn on your side." "Walk around room to reposition the fetus." "Remain on your back, and reas

Answer:

"Turn on your side."

Pt should not lie supine, because compression of the aorta could negatively affect the fetus. A change of position, such as lying on the side, is the first response to a nonreassuring fetal heart rate pattern in this situation.

Question 6: causes of deceleration of FHR

Answer:

Uterine contractions Vaginal examination Fundal pressure Placement of internal fetal monitoring Question 7: Mild intensity contraction assessed by palpation feels like:

Answer:

Fundus is slightly tense but easy to indent with fingertips (similar to pressing a finger to a nose).

Question 8: Recommendations for assessment timing in low-risk pregnancies for FHR and UA

Answer:

Active first stage of labor: assess every 15-30 minutes after a contraction

Second-stage labor: assess every 5-15 minutes

Question 9: Which uterine activity would the nurse consider to be reassuring?

Select all that apply.Contraction duration of 60 sec.Contractions occur every 60 sec.Contraction strength is 50 mm Hg during the first stage of labor.Contraction duration is 110 se

Answer:

Contraction duration of 60 seconds.Norm contraction duration during labor is 45-80 sec, not generally exceeding 90 sec.Contraction strength is 50 mm Hg during the first stage of labor.Contraction intensity in the first stage of labor generally rang

Question 10: description of moderate variability of FHR is accurate?

FHR is 100 beats/min for 15 minutes.FHR fluctuates between 10 and 20 beats/min.FHR at baseline has a smooth, flat appearance and fluctuates 2 beats/min.FHR accelerates 26 beats/min above basel

Answer:

Fetal heart rate fluctuates between 10 and 20 beats/min.

A fluctuating fetal heart rate of 6 to 25 beats/min is considered moderate variability and is normal and reassuring.

Question 11: FHR patterns have three classifications.

Answer:

Category I: Normal (reassuring)

Category II: Indeterminate (equivocal or ambiguous)

Category III: Abnormal (nonreassuring)

Question 12: Which uterine contraction intensity classification is defined as a firm but not rigid fundus that is difficult to indent with fingertips?Mild Strong

Normal Moderate

Answer:

Moderate

Question 13: Which characteristics describe early decelerations?

Select all that apply.Most common during second stage of labor Referred to as mirror images of contraction Primarily periodic and often benign Onset, nadir, and recovery correspond with beginning,

Answer:

Referred to as mirror images of contraction Primarily periodic and often benign Onset, nadir, and recovery correspond with beginning, peak, and end of contraction

Question 14: 2. Which deceleration is considered a normal finding?

Variable Prolonged Early Late

Answer:

Early Question 15: nurse notes accelerations on FHR pattern. information nurse able to determine given this assessment?The fetus has a cord prolapse.The patient requires oxygen therapy.Immediate nursing intervention is necessary.The fetus has normal acid-base bala

Answer:

The fetus has normal acid-base balance.

Accelerations are usually a reassuring sign that the fetus has a responsive central nervous system and is not in acidosis.