The nurse providing care for the laboring woman should understand that variable FHR decelerations are caused by: A. Altered fetal cerebral blood flow B. Umbilical cord compression C. Uteroplacental insufficiency D. Fetal hypoxemia {Ans: B A. Incorrect: Altered fetal cerebral blood flow would result in early decelerations in the FHR. B. Correct: Variable decelerations can occur any time during the uterine contracting phase and are caused by compression of the umbilical cord. C. Incorrect: Uteroplacental insufficiency would result in late decelerations in the FHR. D. Incorrect: Fetal hypoxemia would result in tachycardia initially, then bradycardia if hypoxia continues. p. 507}16. Pelvic floor exercises, also known as Kegel exercises, will help to strengthen the perineal muscles and encourage healing after childbirth. The nurse requests the client to repeat back instructions for this exercise. Which response by the client indicates successful learning? a. I contract my thighs, buttocks, and abdomen. b. I perform 10 of these exercises every day. c. I stand while practicing this new exercise routine. d. I pretend that I am trying to stop the flow of urine in midstream. {Ans: D (The woman can pretend that she is attempting to stop the passing of gas or