A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?
A.
Contractions every 2 minutes, lasting 100 seconds
B.
Fetal heart decelerations during a contraction
C.
Beat-to-beat variability between contractions
D.
Fetal heart decelerations at the beginning of contractions
Suggested Answer:A🗳️
(A) These are tetanic in nature and can cause rupture of the uterus. (B) The FHR decreases during contractions owing to vasoconstriction and should recover after the contraction. (C) Beat-to-beat variability is a normal finding and demonstrates fetal well-being. (D) The FHR may decrease at the beginning of a contraction owing to head compression.
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