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