The nurse auscultates the fetal heart rate (FHR) and determines a rate of 152 . Which nursing intervention is appropriate?
a. Inform the mother that the rate is normal.
b. Reassess the FHR in 5 minutes because the rate is too high.
c. Report the FHR 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
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A The FHR is within the normal range, so no other action is indicated at this time.
B The FHR is within the expected range; reassessment should occur, but not in 5
minutes.
C The FHR is within the expected range; no further action is necessary at this
point.
D The sex of the baby cannot be determined by the FHR.
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Fill in the blank(s) with the appropriate word(s).