Hodge Podge
Nonreassuring patterns of the fetal heart rate monitor that reflect impaired placental exchange or uteroplacental insufficiency
Late decelerations
Decelerations that last for more than 2 minutes, but less than 10 minutes, and may be caused by uterine tachysystole, maternal hypotension, or cord prolapse
Prolonged decelerations
Fetal heart rate fluctuations are 6 to 25 beats per minute
Moderate variability
Fetal heart rate is 110-160 beats per minute
Normal fetal heart rate
The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external fetal heart rate monitor tracing during a contraction?
Variable deceleration
A client in active labor has variable decelerations on the fetal heart rate monitor. What is the nurse's first priority for intervention?
Reposition the client
Greater than undetected but not more than 5 beats per minute
Minimal variability
Fetal heart rate is less than 110 beats per minute for longer than 10 minutes
Fetal bradycardia
A nurse is reviewing a fetal heart rate monitor strip with a nursing student. The nurse knows the student understands early decelerations when the student says what?
The tracing of the fetal heart rate shows a uniform shape and mirror image of uterine contraction
A nurse is monitoring a client labor. The nurse suspects fetal head compression if which is noted on the fetal heart rate monitor during a contraction?
Early deceleration
Undetected variability
Absent variability
Fetal heart rate is more than 160 beats per minute for 10 minutes or longer
Fetal tachycardia
A laboring client's fetal heart rate tracing shows recurrent late decelerations. What nursing interventions should you implement to improve fetal oxygenation?
Reposition the client, administer oxygen, fluid bolus, discontinue pitocin and administer tocolytics if neccessary
A laboring client's fetal heart rate is 155 beats per minute with moderate variability, but the nurse notices occasional early decelerations. What is the likely cause of these decelerations?
Fetal head compression
Fetal heart rate fluctuations are greater than 25 beats per minute
Marked variability
A client in labor has a fetal heart rate of 140 beats per minute, with moderate variability and periodic accelerations. What category?
Category 1