The nurse is responding to phone calls. Which call should the nurse return first?
1. 37 weeks' gestation, reports no fetal movement for 24 hours.
2. 29 weeks' gestation, reports increased fetal movement.
3. 32 weeks' gestation, reports decreased fetal movement X 2 days.
4. 35 weeks' gestation, reports decreased fetal movement X 4 hours.
1
Rationale:
1. A lack of fetal movement in a fetus in the third trimester can indicate fetal hypoxia or fetal death. This client is the highest priority.
2. Increased fetal movement is not indicative of a problem.
3. Although decreased fetal movement can indicate intrauterine growth restriction or fetal hypoxia, this client is not the highest priority.
4. Although decreased fetal movement can indicate intrauterine growth restriction or fetal hypoxia, four hours is a very short amount of time to assess decreased fetal movement.
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