The nurse is assessing the fetal monitoring tracing below. Which type of fetal heart rate variability is pictured here in the top tracing?

absent
Minimal
Marked
Moderate
The Correct Answer is D
A. Absent variations would show no detectable fluctuations in the fetal heart rate.
B. Minimal variability would show minimal fluctuations in the fetal heart rate, with an amplitude range of less than 5 beats per minute.
C. Marked variability would show wide and pronounced fluctuations in the fetal heart rate, with an amplitude range greater than 25 beats per minute.
D. Fluctuations in the fetal heart rate are within a moderate range, between 6 and 25 beats per minute.
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Related Questions
Correct Answer is C
Explanation
A. Early decelerations are generally considered benign and not an indication for a vaginal exam unless other concerning factors are present.
B. Promptly informing the primary care provider may not be necessary for early decelerations, which are often a normal response to head compression.
C. Continuous monitoring and observation of the client and fetal heart rate are appropriate for early decelerations, especially when the baseline is reassuring and there is moderate variability.
D. Repositioning the client to the left side is a general measure for optimizing fetal oxygenation, but it may not be the priority in the case of early decelerations, which are usually benign and
related to head compression.
Correct Answer is D
Explanation
A. Initiating oxytocin infusion is not the priority before the insertion of dinoprostone. Fetal monitoring is a more immediate concern.
B. Ensuring the client eats a light meal and drinks fluids is important for general well-being but is not the priority before dinoprostone insertion.
C. Placing the catheter and sterile saline at the bedside may be done later but is not the priority before insertion.
D. Continuous monitoring of the fetal heart rate and uterine activity is essential to assess the response to cervical ripening agents, as they can cause uterine hyperstimulation and fetal distress.
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