We've found 5 Fetal Heart Tones tests

Fetal Heart Tones
Kaplan – Maternity Gynecology A,B,C, – Flashcards 90 terms
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Rebecca Baker
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On every prenatal visit, listen to fetal heart tones and evaluate uterine size. When can these factors first be noticed? What constitutes a size/date discrepancy?
Fetal heart tones can be heard with Doppler ultrasound at 10 to 12 weeks and with a normal stethoscope at 16 to 20 weeks. At 12 weeks of gestation, the uterus enters the abdomen and is palpable at the symphysis pubis; at roughly 20 weeks, it reaches the umbilicus. Uterine size is evaluated by measuring the distance from the symphysis pubis to the top of the fundus in centimeters. At roughly 20 to 35 weeks, the measurement in centimeters should equal the number of weeks of gestation. A discrepancy greater than 2 to 3 cm is called a size/date discrepancy. Ultrasound should be done for further evaluation (e.g., intrauterine growth retardation, multiple gestations).
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The physician decides to artificially rupture the membranes. Following this procedure, the nurse checks the fetal heart tones for which reason? 1. To determine fetal well-being 2. To assess for fetal bradycardia 3. To assess fetal position 4. To prepare for an imminent delivery
Answer: 2 RATIONALES: After a client has an amniotomy, the nurse should assure that the cord isn’t prolapsed and that the baby tolerated the procedure well. The most effective way to do this is to check the fetal heart rate. Fetal well-being is assessed via a nonstress test. Fetal position is determined by vaginal examination. Artificial rupture of membranes doesn’t indicate an imminent delivery.
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After performing Leopold maneuvers on a laboring client, a nurse determines that the fetus is in the right occiput posterior (ROP) position. Where should the Doppler ultrasound transducer be placed to best auscultate fetal heart tones? 1 Above the umbilicus in the midline 2 Above the umbilicus on the left side 3 Below the umbilicus on the right side 4 Below the umbilicus near the left groin
After performing Leopold maneuvers on a laboring client, a nurse determines that the fetus is in the right occiput posterior (ROP) position. Where should the Doppler ultrasound transducer be placed to best auscultate fetal heart tones? Incorrect1 Above the umbilicus in the midline 2 Above the umbilicus on the left side Correct3 Below the umbilicus on the right side 4 Below the umbilicus near the left groin
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A client comes to the prenatal clinic for her first visit. The nursing history reveals that the client’s last menstrual period was five months ago, and the client is sure she is pregnant because she has been feeling the baby move. Whcih of the following responses by the nurse is BEST? 1. “Since you have felt the fetal movement, I am sure that you are pregnant.” 2. “Lie down so that I can listen for fetal heart tones with the Doppler.” 3. “We’ll collect a urine specimen for testing to confirm that you are pregnant.” 4. “Have you noticed feeling more fatigued lately?”
“Lie down so that I can listen for fetal heart tones with the Doppler.”
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The nurse is caring for a woman who has been admitted with early pregnancy-induced hypertension (PIH) that has progressed to eclampsia. The priority intervention by the nurse is to: a. Check the blood pressure and fetal heart tones. b. Maintain a patent airway. c. Administer oxygen. d. Prepare to administer magnesium sulfate.
b. patent airway The woman experiencing eclampsia is at great risk for seizures, and the highest priority of care is a patent airway. Checking blood pressure, fetal heart tones, and administering magnesium sulfate and oxygen are all components of care but are of lower priority than maintaining a patent airway.
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