Pediatrics Proctored exam
A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the following actions should the nurse perform?
Explanation & Rationale
A. Immediate reporting and induction are not warranted at this point because the fetus appears to have a normal baseline FHR and no decelerations; initial interventions are noninvasive. B. Walking around may temporarily reduce maternal comfort or interfere with monitoring; activity is not the first intervention. C. Turning the client on her left side is a good practice for optimizing uteroplacental perfusion, but it does not stimulate fetal activity if the fetus is asleep. D. Offering a snack containing carbohydrates can stimulate fetal activity, which is a first-line intervention when there is no movement noted during a nonstress test. This is safe and noninvasive, allowing reassessment of fetal movement before further actions.
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