The nurse auscultates the fetal heart rate and determines a rate of 152 . Which nursing in-tervention is appropriate?
a. Inform the mother that the rate is normal.
b. Reassess the fetal heart rate in 5 minutes because the rate is too high.
c. Report the fetal heart rate to the physician or nurse-midwife immediately.
d. Tell the mother that she is going to have a boy because the heart rate is fast.
A
The FHR is within the normal range, so no other action is indicated at this time.
The FHR is within the expected range; reassessment should occur, but not in 5 minutes.
The FHR is within the expected range; no further action is necessary at this point.
The sex of the baby cannot be determined by the FHR.
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