The nurse is interpreting the results of a fetal blood sampling test. Which of the following reports would the nurse expect to see?

Correct Answer: D

Rationale: The correct answer is D: pH of 7.30. Fetal blood sampling is a test used to assess the well-being of the fetus during pregnancy. The pH of the fetal blood is a crucial indicator of the fetus's oxygenation status. A pH of 7.30 is within the normal range for fetal blood, indicating adequate oxygenation. Choice A, oxygen saturation of 99%, is not typically reported in fetal blood sampling tests. Oxygen saturation levels are more commonly measured in maternal blood tests. Choice B, Hgb of 11 gm/dL, is a measurement of hemoglobin levels which is not typically reported in fetal blood sampling tests. Hemoglobin levels are more relevant in assessing anemia in adults rather than in fetal blood tests. Choice C, serum glucose of 140 mg/dL, is a measurement of glucose levels which is also not typically reported in fetal blood sampling tests. Glucose levels are more commonly monitored in maternal blood tests for gestational diabetes. In summary, the correct answer is D because the pH of the fetal blood is a critical indicator of oxygenation status in the fetus, while the other choices are not typically reported in fetal blood sampling tests and are more relevant to maternal blood tests.

Correct Answer: A

Rationale: To calculate the amount of medication to administer, we can use the formula: Dose prescribed (mg) / Concentration on hand (mg/mL) = Volume to administer (mL) In this case, the dose prescribed is 0.5 mg and the concentration on hand is 2 mg/mL. So, 0.5 mg / 2 mg/mL = 0.25 mL. Therefore, the nurse will administer 0.25 mL of Stadol to the laboring client. Choice B, C, and D are marked as N/A because they do not have any relevance to the question. The correct answer is based on the calculation of the dose prescribed and the concentration on hand, which results in 0.25 mL. Choice B, C, and D are incorrect because they do not provide a valid answer to the question. Only choice A provides a clear and accurate calculation based on the information given in the question.

Correct Answer: D

Rationale: A vaginal examination provides the best information about the status of labor because it allows healthcare providers to directly assess the cervix for dilation, effacement, and station of the baby. This information is crucial in determining the progress of labor and deciding on the appropriate course of action. Leopold's maneuvers (choice A) are a series of four movements used to assess the position of the fetus in the uterus. While they can provide some information about the baby's position, they do not give as much detail about the status of labor as a vaginal examination. Fundal contractility (choice B) refers to the strength and regularity of contractions, which is important in labor progress. However, this information alone does not provide a comprehensive picture of the status of labor as it does not give information on cervical dilation and effacement. Assessment of the fetal heart (choice C) is important for monitoring the well-being of the baby during labor, but it does not provide direct information about the progress of labor in terms of cervical changes. In conclusion, a vaginal examination is the best choice for assessing the status of labor as it provides direct and detailed information about cervical dilation, effacement, and station of the baby, which are crucial in managing labor effectively.

Correct Answer: A

Rationale: A: After all vaginal exams Assessing the fetal heart rate after all vaginal exams is crucial during labor because these exams can potentially cause changes in the fetal heart rate. Vaginal exams can stimulate the cervix and cause temporary changes in the baby's heart rate. Therefore, it is important to monitor the fetal heart rate immediately after these exams to ensure the baby's well-being. B: Before giving the mother any analgesics While it is important to monitor the fetal heart rate before giving the mother any analgesics, this is not the most critical time for assessment. Analgesics may affect the mother's pain perception and level of consciousness but do not directly impact the fetal heart rate. Monitoring the fetal heart rate after vaginal exams is more critical to ensure immediate safety. C: Periodically at the end of a contraction Monitoring the fetal heart rate periodically at the end of a contraction is important for assessing the baby's response to uterine contractions. However, this alone may not provide a comprehensive picture of the baby's well-being throughout labor. Assessing the fetal heart rate after all vaginal exams allows for immediate detection of any changes that may impact the baby's health. D: Every 1 hour during the latent phase of a low-risk labor Monitoring the fetal heart rate every hour during the latent phase of a low-risk labor is a good practice to ensure the baby's well-being over time. However, waiting for an hour between assessments may miss critical changes that can occur suddenly, especially after vaginal exams. Immediate assessment after vaginal exams is crucial for timely interventions if needed.

Correct Answer: B

Rationale: When the nurse palpates the buttocks above the spines, she is feeling for the fetal back, which indicates the fetal position. In this scenario, the correct answer is B: LSP with presenting part at -1 station. A: LOA with presenting part at -1 station is incorrect because LOA stands for Left Occiput Anterior, which means the back of the baby's head is facing towards the mother's left side. However, feeling the buttocks above the spines suggests the back is on the mother's right side, ruling out LOA. C: LMP with presenting part at +1 station is incorrect because LMP stands for Left Mentoposterior, which means the baby's face is facing towards the mother's left side. Palpating the buttocks above the spines indicates the back is on the right side, ruling out LMP. D: LSA with presenting part at +1 station is incorrect because LSA stands for Left Sacrum Anterior, which means the baby's sacrum is facing towards the mother's left side. Palpating the buttocks above the spines suggests the back is on the mother's right side, ruling out LSA. In summary, the correct answer is B: LSP with presenting part at -1 station because the nurse is feeling the buttocks above the spines, indicating the fetal back is on the mother's right side, and the presenting part is at -1 station.