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    Ati rn comprehensive predictor 2023 proctored exam

    A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

    Explanation & Rationale

    A. Temperature 37.4° C (99.3° F): This is a mild elevation and within normal limits for a laboring client. Slight temperature increases can occur due to physical exertion and are not typically concerning. B. Early decelerations in the FHR: Early decelerations are usually benign and mirror uterine contractions, reflecting fetal head compression. They are not an indication for immediate intervention. C. Contractions lasting 80 seconds: Normal uterine contractions in active labor typically last 45–80 seconds. While the upper limit of 80 seconds is noted, this alone does not require urgent reporting if the contraction pattern and fetal response remain reassuring. D. FHR baseline 170/min: A baseline fetal heart rate above 160/min indicates fetal tachycardia, which can result from maternal infection, fetal hypoxia, or other complications. This finding requires prompt notification of the provider for further evaluation and potential intervention.

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