ATI Capstone Maternal Newborn Proctored Exam
A nurse is caring for a client who is in active labor.The nurse notes early decelerations of the FHR on the fetal monitor tracing.The nurse should identify that which of the following conditions causes early decelerations in the FHR?
Explanation & Rationale
Choice A rationaleFetal hypoxemia manifests as late decelerations, not early decelerations. Early decelerations are benign and do not indicate hypoxemia or oxygen deprivation.Choice B rationaleUteroplacental insufficiency causes late decelerations due to decreased oxygen delivery. Early decelerations are unrelated to this condition.Choice C rationaleCord compression results in variable decelerations due to intermittent blood flow obstruction. Early decelerations are not caused by cord issues.Choice D rationaleEarly decelerations result from fetal head compression, stimulating the vagus nerve and leading to transient heart rate decreases. This is common during contractions. .
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