Author Question: The nurse auscultates the fetal heart rate and determines a rate of 152 . Which nursing ... (Read 42 times)

leo leo · **on:** Jun 27, 2018

The nurse auscultates the fetal heart rate and determines a rate of 152 . Which nursing in-tervention is appropriate?

a. Inform the mother that the rate is normal.
b. Reassess the fetal heart rate in 5 minutes because the rate is too high.
c. Report the fetal heart rate to the physician or nurse-midwife immediately.
d. Tell the mother that she is going to have a boy because the heart rate is fast.

Question 2

A mother with diabetes has done some reading about the effects of her condition on newborns. Which of the following statements shows a misunderstanding that should be clarified by the nurse?

a. Although my baby is large, some women with diabetes have very small babies because the blood flow through the placenta may not be as good as it should be.
b. My baby will be watched closely for signs of low blood sugar, especially during the early days after birth.
c. The red appearance of my baby's skin is due to an excessive number of red blood cells.
d. My baby's pancreas may not produce enough insulin because the cells became smaller than normal during my pregnancy.

Jane · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
The FHR is within the normal range, so no other action is indicated at this time.
The FHR is within the expected range; reassessment should occur, but not in 5 minutes.
The FHR is within the expected range; no further action is necessary at this point.
The sex of the baby cannot be determined by the FHR.

Answer to Question 2

D
Infants of diabetic mothers may have hypertrophy of the islets of Langerhans, which may cause them to produce more insulin than they need.