During the assessment of a woman in her 22nd week of pregnancy, the nurse is unable to hear fetal heart tones with the fetoscope. The nurse should:
a. Immediately notify the physician, then wait 10 minutes and try again.
b. Ask the woman if she has felt the baby move today.
c. Wait 10 minutes, and try again.
d. Use ultrasound to verify cardiac activity.
ANS: D
If no fetal heart tones are heard during auscultation with a fetoscope, then the nurse should verify cardiac activity using ultrasonography. An ultrasound should be immediately done and before notifying the physician or causing the woman distress by asking about fetal movement.
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Fill in the blank(s) with correct word