A nurse is preparing to measure the baseline fetal heart rate (FHR) on a client in labor.
Which of the following statements is NOT accurate regarding baseline fetal heart rates?

Choice A rationale

Thanking the nurse for information does not provide an actionable or measurable response to the safety plan. It signifies acknowledgment but does not demonstrate engagement or utilization of the resources provided. Effective evaluation involves observable actions that reflect the client's commitment to safety measures, such as storing or sharing resources.

Choice B rationale

Storing the crisis center number in their phone indicates the client values the provided resource and anticipates using it if necessary. It shows a proactive step in engaging with the safety plan and retaining information for future use. This measurable action demonstrates their awareness of the importance of having immediate access to help during emergencies.

Choice C rationale

The belief that their home will become safer due to the presence of a baby reflects denial or false optimism. It fails to address the inherent risks of intimate partner violence, which often escalate during stressful situations. A rational evaluation involves recognizing danger and taking steps to access resources for safety.

Choice D rationale

Choosing not to leave their home indicates resistance or inability to engage with the safety plan effectively. It reflects a lack of readiness to act on safety measures, making this response inappropriate as a measure of evaluating the safety plan. Behavioral change is necessary to ensure the client's well-being.

Choice A rationale

Restricting play activity limits physical and emotional well-being in children. While strenuous activity is discouraged during recovery, moderate activity promotes overall health and blood flow. Over-restriction is unwarranted without clinical indications. Balance in physical activity should be emphasized in sickle cell management.

Choice B rationale

Cold compresses induce vasoconstriction, which may precipitate a sickle cell crisis by reducing oxygen delivery to tissues. Warm compresses are preferred to improve blood flow and alleviate pain in these patients. Temperature management is critical in preventing vaso-occlusive complications.

Choice C rationale

Adequate hydration reduces blood viscosity, preventing sickling episodes in children with sickle cell anemia. Consistent fluid intake is a cornerstone of management, mitigating crisis frequency. Parents should encourage routine hydration to maintain hemodynamic stability in affected children.

Choice D rationale

Daily temperature monitoring is important but not sufficient standalone advice. Fever in sickle cell anemia may indicate infection or crisis, requiring prompt medical evaluation. However, comprehensive management includes hydration, pain control, and activity regulation alongside temperature monitoring. .