A new nurse is preparing to assess the fetal heart rate response to stimulation with vibroacoustic stimulation. What action by the new nurse would prompt the precepting nurse to intervene?
A.
Nurse attempts stimulation in the presence of fetal bradycardia.
B.
Nurse attempts stimulation in the presence of ruptured membranes.
C.
Nurse places stimulation device over the fetal head for 1 to 2 seconds.
D.
Nurse waits until fetal heart rate is at baseline before initiating the stimulation.
ANS: A
Fetal stimulation should occur when the fetal heart rate is at baseline, and not in the presence of decelerations or bradycardia. If the nurse attempts to stimulate the fetal heart rate in a bradycardic fetus, the preceptor should intervene. The other options are correct steps in the procedure (stimulation can occur in the presence or absence of ruptured membranes).
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