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ljy5723 ljy5723
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6 years ago
A patient in the high-risk OB unit has suffered a seizure and is now postictal. She is on oxygen at 2L/minute. Which assessment by the nurse warrants immediate intervention?
 
  A.
  Fetal heart rate is 98 beats/minute on electronic fetal monitor strip.
  B.
  Maternal oxygen saturation is 94 by pulse oximetry.
  C.
  Mother is sleeping soundly and is difficult to arouse.
  D.
  Mother's respiratory rate is 12 breaths/minute.
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wrote...
6 years ago
ANS: A
After a seizure, all fetuses must be checked and accounted for. Fetal heart rate may show variability or bradycardia. A fetal heart rate of 98 is bradycardic, and the nurse should intervene immediately. Oxygen saturation of 94 is normal, a postictal patient will be drowsy and difficult to arouse, and a respiratory rate of 12 breaths/minute is normal.
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