According to standard professional thinking, nurses should auscultate the fetal heart rate (FHR):
a. Every 15 minutes in the active phase of the first stage of labor in the absence of risk factors.
b. Every 20 minutes in the second stage, regardless of whether risk factors are present.
c. Before and after ambulation and rupture of membranes.
d. More often in a woman's first pregnancy.
ANS: C
The FHR should be auscultated before and after administration of medications and induction of anesthesia. In the active phase of the first stage of labor, the FHR should be auscultated every 30 minutes if no risk factors are involved; with risk factors it should be auscultated every 15 minutes. In the second stage of labor the FHR should be auscultated every 15 minutes if no risk factors are involved; with risk factors it should be auscultated every 5 minutes. The fetus of a first-time mother is automatically at greater risk.
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