NCLEX-RN · Question #507
The FHR pattern in a laboring client begins to show early decelerations. The nurse would best respond by:
The correct answer is C. Continuing to monitor the FHR closely. (A) Early decelerations are reassuring and do not warrant notification of the physician. (B) Because early decelerations is a reassuring pattern, it would not be necessary to change the client's position. (C) Early decelerations warrant the continuation of close FHR monitoring…
Question
The FHR pattern in a laboring client begins to show early decelerations. The nurse would best respond by:
Options
- ANotifying the physician
- BChanging the client to the left lateral position
- CContinuing to monitor the FHR closely
- DAdministering O2 at 8 L/min via face mask
How the community answered
(25 responses)- A4% (1)
- B8% (2)
- C72% (18)
- D16% (4)
Explanation
(A) Early decelerations are reassuring and do not warrant notification of the physician. (B) Because early decelerations is a reassuring pattern, it would not be necessary to change the client's position. (C) Early decelerations warrant the continuation of close FHR monitoring to distinguish them from more ominous signs. (D) O2 is not warranted in this situation, but it is warranted in situations involving variable and/or late decelerations.
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