Hesi Real Exam Prep Quiz; Pregnancy, Labor, Childbirth & Postpartum With Rationale

HESI REAL EXAM PREP QUIZ; PREGNANCY, LABOR, CHILDBIRTH & POSTPARTUM WITH RATIONALE Which action provides support for the fetal head as it is being delivered? Applying suprapubic pressure Placing a hand firmly against the perineum Distributing the fingers evenly around the head Maintaining pressure against the anterior fontanel Rationale Distribution of the fingers around the head will prevent a rapid change in intracranial pressure while the head is being born and keeps the head from 'popping out,' which could result in maternal perineal trauma. Applying suprapubic pressure will not aid in the birth of the head. Placing a hand firmly against the perineum may interfere with the birth and harm the neonate. Maintaining pressure against the anterior fontanel could injure the neonate. Between contractions that are 2 to 3 minutes apart and last about 45 seconds the internal fetal monitor shows a fetal heart rate (FHR) of 100 beats/min. Which is the priority nursing action? Notify the health care provider. Resume continuous fetal heart monitoring. Continue to monitor the maternal vital signs. Document the fetal heart rate as an expected response to contractions.Rationale The expected FHR is 110 to 160 beats/min between contractions. An FHR of 100 beats/min is bradycardia