The nurse is aware that a fetus that is not in any stress would respond to a fetal scalp stimulation test by showing which change on the monitor strip?
1. Late decelerations
2. Early decelerations
3. Accelerations
4. Increased long-term variability
3
Rationale 1: Late decelerations indicate uteroplacental insufficiency.
Rationale 2: Early decelerations are indicative of head compression.
Rationale 3: A fetus that is not experiencing stress responds to scalp stimulation with an acceleration of the FHR.
Rationale 4: Increased long-term variability is a parameter assessed when there is a questionable FHR pattern because long-term variability, when normal, can indicate that the fetus is not suffering from cerebral asphyxia.
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