During the latent phase of labor, when should the nurse assess the fetal heart pattern of a low-risk woman? Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply
1. After a vaginal exam
2. Before administration of analgesics
3. Periodically at the end of a contraction
4. Every 10 minutes
5. Before ambulating
1,2,3,5
Rationale 1: The fetal heart rate should be assessed after all vaginal exams.
Rationale 2: The fetal heart rate should be assessed before administration of any analgesics.
Rationale 3: The fetal heart rate should be assessed after contractions.
Rationale 4: During the latent phase, the fetal heart rate should be assessed each hour in a low-risk labor patient.
Rationale 5: Before the woman gets up to ambulate, the fetal heart rate should be assessed.
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