The nurse is caring for a victim of rape. Which interventions ...

[asan beg]

The nurse is caring for a victim of rape. Which interventions should the nurse include in the client's plan of care? Select all that apply.

Question 2

The laboring client's fetal heart rate baseline is 120 beats per minute (bpm). Accelerations are present to 135 bpm. During contractions, the fetal heart rate gradually slows to 110 bpm and is at 120 bpm by the end of the contraction.
 
  Which nursing action is appropriate?
  A) Documenting the fetal heart rate
  B) Preparing for imminent delivery
  C) Applying oxygen via mask at 10 liters
  D) Assisting the client into the Fowler's position

[morganmarie791]

Answer to Question 1



Answer to Question 2

Answer: A

The described fetal heart rate has a normal baseline, the presence of accelerations indicates adequate fetal oxygenation, and early decelerations are normal. No intervention is necessary. The fetal heart rate tracing is normal; oxygen is not indicated. There is no indication that delivery will be occurring soon. The fetal heart rate tracing is normal, no intervention is necessary. The client does not need to be assisted into the Fowler's position.

[asan beg]

Thank you

[morganmarie791]

No problemo