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. A fetal heart rate (FHR) baseline of 170/min indicates fetal tachycardia, which could be due to maternal fever, dehydration, infection, or fetal distress. This requires immediate evaluation by the provider. B. Early decelerations are a normal finding caused by fetal head compression and do not indicate distress. C. A temperature of 37.4°C (99.3°F) is within the normal range and does not require reporting. D. Contractions lasting 80 seconds are within an acceptable range during active labor (typically 60-90 seconds).
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