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NCLEX-RN · Question #129

Which of the following signs might indicate a complication during the labor process with vertex presentation?

The correct answer is D. Appearance of dark-colored amniotic fluid. (A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last 60-90 seconds during the transitional phase of labor and are not…

Physiological Integrity: Reduction of Risk Potential

Question

Which of the following signs might indicate a complication during the labor process with vertex presentation?

Options

  • AFetal tachycardia to 170 bpm during a contraction
  • BNausea and vomiting at 8-10 cm dilation
  • CContraction lasting 60 seconds
  • DAppearance of dark-colored amniotic fluid

How the community answered

(24 responses)
  • A
    4% (1)
  • B
    4% (1)
  • C
    8% (2)
  • D
    83% (20)

Explanation

(A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last 60-90 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. (D) Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.

Topics

#labor complications#meconium-stained amniotic fluid#fetal distress#vertex presentation

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