ATI NURS 306 Maternal Newborn Proctored Exam
A nurse is caring for a client who is having a nonstress test. The fetal heart rate (FHR) baseline is 145 bpm, there is moderate variability, but there have been no accelerations or fetal movement. Which of the following actions should the nurse complete next?
Explanation & Rationale
Choice A rationaleWalking may not stimulate fetal activity and could delay necessary intervention. Monitoring should continue to provide accurate data on the fetal heart rate.Choice B rationaleImmediate induction is not warranted without further diagnostic tests and failed stimulation attempts. Reporting to the provider is premature.Choice C rationaleVibroacoustic stimulation uses sound waves to prompt fetal activity. This test assesses fetal well-being by observing changes in the fetal heart rate with stimuli.Choice D rationaleRepositioning the client to a supine position can decrease blood flow to the fetus, potentially causing fetal distress. Fetal heart rate monitoring should continue in a left lateral or semi-Fowler's position.
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