The nurse checks the fetal heart rate and finds it is 90 bpm. What action should the nurse take first?
a. Notify the physician.
b. Put the client in a supine position.
c. Recheck the rate with a fetoscope.
d. Check the heart rate with the maternal pulse.
D
The fetal heart tones can be mistaken for placental blood flow, which would be the same as the maternal pulse. If the fetus is in fetal distress, placing the client in a supine position may very well worsen the symptoms. Although rechecking the rate with a fetoscope could be done, it is best to rule out the common cause for the FHR to decline.
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