The nurse is performing fetal heart monitoring (FHM) on a client who is 39 weeks along and has been in labor for 14 hours. Which of the following findings is the MOST concerning?
A client who is 39 weeks’ gestation is in labor has started pushing during delivery. The nurse is performing external fetal monitoring during this time and notes that the baby’s heart rate drops during contractions but increases again by the time the contraction has ended. Which action of the nurse is most appropriate?
A pregnant client arrives to labor and delivery unit and the nurse places a fetal monitor on her. The fetal heart rate is assessed to be 123. What is the most appropriate action by the nurse?
A nurse is caring for a laboring client who is having a fetal scalp electrode placed. The nurse knows this causes a risk of which of the following?
A nurse is caring for a client who is in labor. The client has an external fetal heart monitor in place and the nurse is watching the baby’s heart rate. The nurse notes that the infants heart rate increases to 180 beats per minute and stays elevated for 10 minutes before returning to 140 bpm again. Which of the following nursing actions is most appropriate?
While checking a fetal heart rate (FHR) on a pregnant client who is in labor, a nurse notes that the fetal heart rate slows below the baseline each time the mother has a contraction. By the end of the contraction, the FHR has returned to a normal rate. Which of the following best describes this phenomenon?
A nurse is caring for a pregnant mother in labor and assessing the fetal heart monitor. Which of the following situations would require intervention?
A nurse is caring for a client who is 28 weeks pregnant and having a nonstress test. The result is an 8. What action should the nurse take next?
A nurse is caring for a client who is in labor. The nurse has applied external fetal monitoring and notes that the baby’s heart rate is having late decelerations. Which of the following actions should the nurse perform? Select all that apply.
A nurse is caring for a client who is in labor and who needs fetal heart monitoring. Which of the following is considered a non-reassuring sign seen during fetal heart rate monitoring? Select all that apply.
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