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    Hesi rn n404 maternity and pediatrics proctored exam

    Patient Data Exhibits The nurse reviews the client data. Drag the Word Choices to complete the sentence. Abnormal FHR patterns can result in dropdown, dropdown and dropdown.

    Explanation & Rationale

    Rationale for Correct Choices Acidemia: Persistent fetal heart rate decelerations can reduce oxygen delivery to fetal tissues, leading to anaerobic metabolism and accumulation of acids in the fetal blood. This condition, if uncorrected, increases the risk of fetal distress and long-term complications. Hypoxia: Repeated or prolonged decelerations indicate insufficient oxygenation of fetal tissues. Hypoxia can impair organ function and, if severe, necessitate urgent interventions such as intrauterine resuscitation or delivery. Hypoxemia: Decreased oxygen saturation in the fetal blood can result from impaired placental perfusion or maternal oxygenation. Hypoxemia is a direct consequence of abnormal FHR patterns and requires prompt recognition and management. Rationale for Incorrect Choices Meconium stool: While fetal stress and hypoxia can lead to meconium passage, it is a secondary sign and not a direct result of FHR decelerations. It is a supportive finding rather than a primary outcome. Maternal hypotension: Maternal blood pressure changes can cause fetal heart rate alterations, but in this scenario, maternal BP is normal. Hypotension is not the direct result of the decelerations. Hypoglycemia: Fetal hypoglycemia is not directly caused by abnormal FHR patterns; it is more commonly related to maternal diabetes or prolonged fasting. It is not an immediate complication of decelerations.

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