The laboring patient's fetal heart rate baseline is 120 beats per ...

[kaid0807]

The laboring patient's fetal heart rate baseline is 120 beats per minute. Accelerations are present to 135 beats/min. During contractions, the fetal heart rate gradually slows to 110, and is at 120 by the end of the contraction.
 
  What nursing action is best? 1. Document the fetal heart rate.
  2. Apply oxygen via mask at 10 liters.
  3. Prepare for imminent delivery.
  4. Assist the patient into Fowler's position.

Question 2

Persistent early decelerations are noted. The nurse's first action would be to:
 
  1. Turn the mother on her left side and give oxygen.
  2. Check for prolapsed cord.
  3. Do nothing. This is a benign pattern.
  4. Prepare for immediate forceps or cesarean delivery.

[chevyboi1976]

Answer to Question 1

1
Rationale 1: 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.
Rationale 2: No oxygen is necessary.
Rationale 3: There is no indication that delivery will be occurring soon.
Rationale 4: There is no need to put the patient in Fowler's position.

Answer to Question 2

3
Rationale 1: Early decelerations do not require any intervention.
Rationale 2: Early decelerations do not indicate a prolapsed cord.
Rationale 3: Early decelerations are considered benign, and do not require any intervention.
Rationale 4: Early decelerations do not warrant an immediate delivery.

[kaid0807]

Thank you

[chevyboi1976]

No problemo