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Answer :
Final answer:
A slight acceleration of the fetal heart rate during contractions is normal and doesn't necessarily indicate a problem. The nurse should record the fetal response to contractions and continue to monitor the heart rate, watching for any significant deviations that might indicate fetal distress.
Explanation:
The question is asking what action a nurse would take if, during a contraction, a fetal heartbeat accelerates 15 beats per minute above the baseline. Tachycardia, a heart rate (HR) above 100 bpm, can occur in pregnant women, but in this situation, the slight acceleration of the fetal heart rate is not typically cause for immediate concern. It's a normal response to contractions and does not necessarily indicate an imminent birth or a heart rate abnormality.
Therefore, the appropriate response would be to C) Record the fetal response to contractions and continue to monitor the heart rate. This course of action would allow the nurse to track any further accelerations or decelerations, which can provide valuable information about the fetus's well-being during labor.
It's worth noting that more significant deviations from the baseline, whether an increase or decrease in heart rate, could indicate fetal distress and would require more immediate medical intervention.
Learn more about Fetal Heart Rate Monitoring During Labor here:
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