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NCLEX-RN · Question #622

A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?

The correct answer is A. Contractions every 2 minutes, lasting 100 seconds. (A) These are tetanic in nature and can cause rupture of the uterus. (B) The FHR decreases during contractions owing to vasoconstriction and should recover after the contraction. (C) Beat-to-beatvariability is a normal finding and demonstrates fetal well-being. (D) The FHR may…

Physiological Integrity: Reduction of Risk Potential

Question

A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?

Options

  • AContractions every 2 minutes, lasting 100 seconds
  • BFetal heart decelerations during a contraction
  • CBeat-to-beat variability between contractions
  • DFetal heart decelerations at the beginning of contractions

How the community answered

(25 responses)
  • A
    80% (20)
  • B
    12% (3)
  • C
    4% (1)
  • D
    4% (1)

Explanation

(A) These are tetanic in nature and can cause rupture of the uterus. (B) The FHR decreases during contractions owing to vasoconstriction and should recover after the contraction. (C) Beat-to-beatvariability is a normal finding and demonstrates fetal well-being. (D) The FHR may decrease at the beginning of a contraction owing to head compression.

Topics

#uterine hyperstimulation#tetanic contractions#fetal monitoring#labor complications

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