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lesh0402 lesh0402
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6 years ago
The laboring client's fetal heart rate baseline is 120 beats per minute (bpm). Accelerations are present to 135 bpm. During contractions, the fetal heart rate gradually slows to 110 bpm and is at 120 bpm 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 client into Fowler's position.
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wrote...
6 years ago
1. Document the fetal heart rate.

Rationale:
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. The fetal heart rate tracing is normal; oxygen is not indicated. There is no indication that delivery will be occurring soon. The fetal heart rate tracing is normal, no intervention is necessary. The client does not need to be assisted into the Fowler's position.
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