The nurse is caring for a low-risk client in the active phase of labor. At which interval should the nurse assess the fetal heart rate?
a. Every 15 minutes
b. Every 30 minutes
c. Every 45 minutes
d. Every 1 hour
ANS: B
For the fetus at low risk for complications, guidelines for frequency of assessments are at least every 30 minutes during the active phase of labor. 15-minute assessments would be appropriate for a fetus at high risk. 45-minute assessments during the active phase of labor are not frequent enough to monitor for complications. 1-hour assessments during the active phase of labor are not frequent enough to monitor for complications.
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