The nurse caring for a woman in labor understands that prolonged decelerations:
a. Are a continuing pattern of benign decelerations that do not require intervention.
b. Constitute a baseline change when they last longer than 5 minutes.
c. Usually are isolated events that end spontaneously.
d. Require the usual fetal monitoring by the nurse.
ANS: C
Prolonged decelerations usually are isolated events that end spontaneously. However, in certain combinations with late and/or variable decelerations, they are a danger sign that requires the nurse to notify the physician or midwife immediately. A deceleration that lasts longer than 10 minutes constitutes a baseline change.
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