Health Promotion and Maintenance
87. A gravida 4, para 2 client with gestational diabetes is having nonstress tests twice a week. A nurse evaluates the fetal monitor strip. Which fetal heart rate pattern should the nurse interpret as reassuring?
Health Promotion and Maintenance
87. A gravida 4, para 2 client with gestational diabetes is having nonstress tests twice a week. A nurse evaluates the fetal monitor strip. Which fetal heart rate pattern should the nurse interpret as reassuring?
. A baseline fetal heart rate of 170–180 bpm.
. Baseline variability of 25–35 bpm.
. Variable decelerations to 100 bpm.
. Acceleration of FHR with fetal movements.
Test-Taking Tip
Remember the characteristics of normal fetal heart rate patterns in the same way every time: baseline heart rate 110 to 160 bpm, baseline variability 6 to 25 bpm, accelerations and no decelerations.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Health Promotion and Maintenance
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Answer 1 is incorrect because a baseline fetal heart rate of 170 to 180 bpm is tachycardia and is nonreassuring. Answer 2 is incorrect because baseline variability of 25 to 35 bpm is marked variability, and not a characteristic of a reassuring fetal heart rate pattern. Answer 3 is incorrect because variable decelerations to 100 bpm are a result of cord compression and are not a characteristic of a reassuring fetal heart rate pattern. Answer 4 is correct because accelerations are correlated with fetal movement and adequate oxygen reserves in the fetus.