Which fetal heart rate (FHR) finding would concern the nurse ...

[Jkov05]

Which fetal heart rate (FHR) finding would concern the nurse during labor?
 
  a. Accelerations with fetal movement c. An average FHR of 126 beats/min
  b. Early decelerations d. Late decelerations

Question 2

While evaluating an external monitor tracing of a woman in active labor whose labor is being induced,
 
  the nurse notes that the fetal heart rate (FHR) begins to decelerate at the onset of several contractions and returns to baseline before each contraction ends. The nurse should:
  a. Change the woman's position.
  b. Discontinue the oxytocin infusion.
  c. Insert an internal monitor.
  d. Document the finding in the client's record.

[Gabe]

Answer to Question 1

ANS: D
Late decelerations are caused by uteroplacental insufficiency and are associated with fetal hypoxemia. They are considered ominous if persistent and uncorrected. Accelerations in the FHR are an indication of fetal well-being. Early decelerations in the FHR are associated with head compression as the fetus descends into the maternal pelvic outlet; they generally are not a concern during normal labor.

Answer to Question 2

ANS: D
The FHR indicates early decelerations, which are not an ominous sign and do not require any intervention. The nurse should simply document these findings.

[Jkov05]

TYSM

[ktidd]

Gracias!