A nurse is caring for a woman in labor whose fetal heart rate tracings show late decelerations. What observation by the nurse indicates that an important outcome for the nursing diagnosis of impaired fetal gas exchange has been met?
A.
Fetal heart monitor shows accelerations to contractions.
B.
Fetal heart monitor shows variable decelerations.
C.
Fetal heart rate rises to180 beats/minute.
D.
Maternal heart rate returns to baseline between contractions.
ANS: A
Accelerations in response to contractions are generally considered a sign of fetal well-being, and this variability is an important predictor of adequate fetal oxygenation. If nursing actions for late decelerations have been effective, the nurse should note encouraging fetal signs. The other options do not indicate encouraging fetal signs, nor do they indicate that impaired fetal gas exchange has been resolved.
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