The fetal heart rate decelerates from baseline mirroring the uterine contractions and then returns to baseline by the end of the contraction. What action by the nurse is indicated?
Administer oxygen via mask
Reposition the woman
Document and continue monitoring
Apply a fetal scalp electrode.
The Correct Answer is C
A. Administering oxygen via mask is indicated when there is concern for fetal hypoxia, such as late decelerations or variable decelerations.
B. Repositioning the woman may be appropriate if fetal heart rate patterns are concerning, but in this case, the decelerations are likely to be normal variable decelerations.
C. This is a pattern of early decelerations, which is typically benign and reflects fetal head compression. The appropriate action is to document and continue monitoring.
D. Applying a fetal scalp electrode is not indicated unless there is difficulty obtaining an accurate fetal heart rate on external monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
The fetal heart rate is within normal ranges between 110 to 160 beats/minute. It also shows moderate variability with the amplitude ranging between 6 to 25 bmp. Both late and variable decelerations are absent. Therefore, based on the above findings this is a category 1 tracing.
Correct Answer is ["65 to 70"]
Explanation
The interval between the vertical lines represents 1 minute (60 seconds). Therefore, one small square equals to 10 seconds (60/6). The uterine contractions range between 6.5 to 7 small boxes which equals 65 to 70 seconds.
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