Nurses should be aware that accelerations in the fetal heart rate:
a. Are indications of fetal well-being when they are periodic.
b. Are greater and longer in preterm gestations.
c. Are usually seen with breech presentations when they are episodic.
d. May visibly resemble the shape of the uterine contraction.
D
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A Periodic accelerations occur with uterine contractions (UCs) and usually are seen with breech presentations. Episodic accelerations occur during fetal movement and are indications of fetal well-being.
B Preterm accelerations peak at 10 beats/min above the baseline and last for at least 10 seconds, not 15 seconds.
C Periodic accelerations occur with UCs and usually are seen with breech presen-tations. Episodic accelerations occur during fetal movement and are indications of fetal well-being.
D They may resemble the shape of the uterine contraction or may be spikelike.
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