The nurse auscultates the FHR and determines a rate of 112 bpm. Which action is appropriate?
1. Inform the maternal client that the rate is normal.
2. Reassess the FHR in 5 minutes because the rate is low.
3. Report the FHR to the doctor immediately.
4. Turn the maternal client on her side and administer oxygen.
1
Rationale:
1. A fetal heart rate of 112 bpm falls within the normal range of 110–160 bpm, so there is no need to inform the doctor, reposition the client, or reassess later.
2. A fetal heart rate of 112 bpm falls within the normal range of 110–160 bpm, so there is no need to inform the doctor, reposition the client, or reassess later.
3. A fetal heart rate of 112 bpm falls within the normal range of 110–160 bpm, so there is no need to inform the doctor, reposition the client, or reassess later.
4. A fetal heart rate of 112 bpm falls within the normal range of 110–160 bpm, so there is no need to inform the doctor, reposition the client, or reassess later.
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