medium · NCLEX-RN Health Promotion and Maintenance

At 0800, a nurse is monitoring a fetal heart rate (FHR) tracing that shows a baseline of 145/min with moderate variability and no accelerations for 40 minutes.

What is the most appropriate next action?

  1. Notify the provider of a Category III fetal heart rate pattern, in this situation.
  2. Administer a bolus of IV fluids to induce an acceleration, at this point in care.
  3. Prepare the client for an immediate cesarean delivery
  4. Continue to monitor for another 20 minutes as this may represent a fetal sleep cycle

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