A nurse caring for a pregnant client in labor observes that the fetal heart rate (FHR) is below
110 beats per minute. Which interventions should the nurse perform? Select all that apply.
A. Reduce intravenous (IV) fluid rate.
B. Ignore questions from the client.
C. Turn the client on her left side.
D. Assess client for underlying causes.
E. Administer oxygen - ANSWER C,D,E
The nurse should turn the client on her left side to increase placental perfusion, administer
oxygen by mask to increase fetal oxygenation, and assess the client for any underlying
contributing causes.
A reduced IV rate would decrease intravascular volume, affecting the FHR further. Instead,
provide IV fluid bolus
The nurse is assessing the laboring client to determine fetal oxygenation status. What
indirect assessment method will the nurse likely use?
A. fetal blood pH
B. external electronic fetal monitoring
C. fetal position
D. fetal oxygen saturation - ANSWER B
Analysis of the FHR using external electronic fetal monitoring is one of the primary
evaluation tools used to determine fetal oxygen status indirectly.
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110 beats per minute. Which interventions should the nurse perform? Select all that apply.
A. Reduce intravenous (IV) fluid rate.
B. Ignore questions from the client.
C. Turn the client on her left side.
D. Assess client for underlying causes.
E. Administer oxygen - ANSWER C,D,E
The nurse should turn the client on her left side to increase placental perfusion, administer
oxygen by mask to increase fetal oxygenation, and assess the client for any underlying
contributing causes.
A reduced IV rate would decrease intravascular volume, affecting the FHR further. Instead,
provide IV fluid bolus
The nurse is assessing the laboring client to determine fetal oxygenation status. What
indirect assessment method will the nurse likely use?
A. fetal blood pH
B. external electronic fetal monitoring
C. fetal position
D. fetal oxygen saturation - ANSWER B
Analysis of the FHR using external electronic fetal monitoring is one of the primary
evaluation tools used to determine fetal oxygen status indirectly.
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