A client in the beginning stages of labor asks the nurse if the labor process will hurt the baby. What should the nurse explain to the client about the fetus's response to labor? Select all that apply
1. The baby's heart rate will change.
2. The baby feels no pain or sensations.
3. The baby is sensitive to light and sounds.
4. The baby's oxygen level drops about 10%.
5. The blood pressure protects the baby during labor.
1, 3, 4, 5
Explanation:
1. Early fetal heart rate decelerations can occur with intracranial pressures of 40 to 55 mmHg, as the head pushes against the cervix.
2. The fetus is experiencing labor as the woman labors.
3. Beginning at about 37 or 38 weeks' gestation, the fetus is able to experience sensations of light, sound, and touch.
4. Blood flow is decreased to the fetus at the peak of each contraction and fetal oxygen saturation drops about 10%.
5. Fetal blood pressure protects the normal fetus during the anoxic periods caused by the contracting uterus during labor.
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