The laboring client's fetal heart rate baseline upon admission was 145, with accelerations and moderate long-term variability present. Three hours later, the baseline is 160, variability is absent, and late decelerations are present.
What should the nurse do first? A. Get the client to the bathroom to void.
B. Take the client's temperature.
C. Place the client in a supine position.
D. Encourage the client to increase oral intake of clear liquids.
Question 2
A woman is in active labor. Her cervical dilation is 6 cm. The nurse notes that the fetal heart rate (FHR) slows from its baseline of 144 beats per minute (bpm) to 126 bpm with the acme of the contraction.
The FHR then returns to its baseline by the end of the contraction. The nurse understands that this indicates: A. Fetal hypoxia.
B. Fetal head compression.
C. Deterioration of the placental unit.
D. Maternal hypoxia.
Weber test: Place the base of the tuning fork on top of the client’s head.
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