The primigravida in labor asks the nurse to explain the electronic fetal heart rate monitor strip. The fetal heart rate baseline is 150 with accelerations to 165, variable decelerations to 140, and moderate long-term variability.
Which statement indicates that the client understands the nurse's teaching? The most important part of fetal heart monitoring is the: A. Absence of variable decelerations.
B. Presence of variability.
C. Fetal heart rate baseline.
D. Depth of decelerations.
Question 2
The nurse notices that a fetal heart rate begins to decline from its baseline of 130 beats per minute (bpm) to 110 bpm after the acme of each contraction. The wave is smooth and uniform, with a shape that reflects the contraction.
The first action of the nurse should be to: A. Give the laboring client oxygen via a mask.
B. Prepare the room and client for imminent delivery.
C. Reposition the client into semi-Fowler's position.
D. Start a large-bore IV of lactated Ringer's solution.
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