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NCLEX-RN Exam - Question 8


When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

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Correct Answer: D

Late decelerations with tachycardia and decreasing variability in fetal heart rate are signs of fetal distress, suggesting that the fetus may not be getting adequate oxygen. This situation requires immediate intervention to prevent potential harm to the baby. The nurse should report these findings to the physician or midwife immediately so that appropriate actions can be taken, such as repositioning the mother, administering oxygen, increasing IV fluids, or preparing for potential emergency delivery.

Discussion

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PinozaOption: A
Apr 29, 2023

Answer is A

newspostingOption: D
Jun 5, 2023

Answer is D Late decelerations can be a sign that the baby isn’t getting enough oxygen. Late decelerations that occur along with a fast heart rate (tachycardia) and very little variability can mean that the contractions may be harming the baby by depriving them of oxygen.

HusseinKeyowOption: D
Aug 13, 2023

Answer D

izhaakOption: D
Aug 22, 2023

ANSWER D

Gesylove03Option: D
Oct 8, 2023

answer D

Kirsch07Option: D
Nov 16, 2023

Answer D

UrchmanduduOption: D
Dec 10, 2023

D. Aws