Nurses should be aware that accelerations in fetal heart rate are:
1. indications of fetal well-being when they are periodic.
2. are greater and longer in preterm gestations.
3. are usually encountered with breech presentations when they are episodic.
4. may visibly resemble the shape of the uterine contraction.
4
1. Incorrect. Periodic accelerations occur with UC and are usually encountered with breech presentations. Episodic accelerations occur during fetal movement and are indications of fetal well-being.
2. Incorrect. Preterm accelerations peak at 10 beats/min above the baseline last for at least 10 seconds rather than 15.
3. Incorrect. Periodic accelerations occur with UC and are usually encountered with breech presentations. Episodic accelerations occur during fetal movement and are indications of fetal well-being.
4. Correct. They may resemble the shape of the uterine contraction or be spikelike.
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