The nurse is evaluating the fetal monitor tracing of the patient who is in active labor.

Suddenly, the nurse sees the FHR drop from its baseline of 125 down to 80. The nurse repositions the mother, provides oxygen, increases intravenous fluids, and performs a vaginal exam.

The cervix has not changed.

Two minutes have passed, and the fetal heart rate remains in the 70s.

What additional nursing measures should the nurse take?

Choice A rationale
Human chorionic gonadotropin (hCG) is produced by the placenta, maintaining the corpus luteum and promoting progesterone production crucial for sustaining pregnancy.
Choice B rationale
Testosterone is not produced by the placenta; it is primarily synthesized in the testes and ovaries and not involved in normal pregnancy hormone production.
Choice C rationale
Insulin is not produced by the placenta; instead, it is secreted by the pancreas and regulates blood glucose levels, not directly linked to pregnancy hormones.
Choice D rationale
Estrogen is produced by the placenta, contributing to the development of female secondary sexual characteristics and maintaining the uterine lining during pregnancy.
Choice E rationale
Progesterone is produced by the placenta, supporting the uterine lining's maintenance, preventing contractions, and creating a suitable environment for fetal development.

Choice A rationale
Quickening, the first fetal movements felt by the mother, typically occurs between 16 and 20 weeks of gestation, so she should expect to feel fluttering sensations within the next month.
Choice B rationale
At 15 weeks of gestation, it is too early for most first-time mothers to feel fetal movements. Quickening usually occurs between 16 and 20 weeks, so she has not missed the window.
Choice C rationale
While some fetal movements may be subtle, it is inaccurate to suggest that some babies are entirely quiet. Quickening is generally felt by most mothers between 16 and 20 weeks.
Choice D rationale
The baby is indeed moving, but fetal movements are usually not felt until 16 to 20 weeks of gestation in first-time pregnancies, so it is normal not to feel them yet at 15 weeks.