Author Question: A high-risk client in labor is having electronic fetal monitoring (EFM). Which of these ... (Read 54 times)

khang · **on:** Jul 22, 2018

A high-risk client in labor is having electronic fetal monitoring (EFM). Which of these interpretations should the nurse recognize as normal, requiring no intervention?

a. a baseline rate of 180 bpm c. late decelerations
b. early decelerations d. variable decelerations

Question 2

A client is receiving thrombolytic therapy following myocardial infarction. The nurse would monitor the client for evidence of which complications?

a. dysrhythmias and agitation
b. fever, dyspnea, and tingling in arms and hands
c. hematemesis and tarry stools
d. chest and foot pain

chloejackso · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Baseline rate is the average fetal heart rate during a 10-minute period. The normal rate is 110 bpm to 160 bpm. A rate above 160 bpm is tachycardia, and a rate below 110 bpm is bradycardia.

Answer to Question 2

C
Nursing management includes measures to decrease the client's cardiac output, such as keeping the client at physical, mental, and emotional rest; relieving pain with prescribed medications and rest; and monitoring the client's cardiovascular status including risk for bleeding related to anticoagulation therapy. Activities are gradually resumed. The nurse provides the client and family with instructions about all aspects of care during hospitalization and prepares them for the continued recovery period at home.