For a woman at 42 weeks of gestation, which finding would require further assessment by the nurse?
a. Fetal heart rate of 116 beats/min
b. Cervix dilated 2 cm and 50% effaced
c. Score of 8 on the biophysical profile
d. One fetal movement noted in 1 hour of assessment by the mother
ANS: D
Self-care in a post-term pregnancy should include performing daily fetal kick counts three times per day. The mother should feel four fetal movements per hour. If fewer than four movements have been felt by the mother, she should count for 1 more hour. Fewer than four movements in that hour warrants evaluation. Normal findings in a 42-week gestation include fetal heart rate of 116 beats/min, cervix dilated 20 cm and 50% effaced, and a score of 8 on the biophysical profile.
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