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Labour and Birth

The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which action is most appropriate?

Notify the primary health care provider of the findingsReposition the mother and check the monitor for changes in the fetal tracingTake the mother’s vital signs and tell the mother that bed rest is required to conserve oxygenDocument the findings and tell the mother that the pattern on the monitor indicates fetal well-being

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ExplanationAccelerations are transient increases in the fetal heart rate that often accompany contractions or are caused by fetal movement. Episodic accelerations are thought to be a sign of fetal well-being and adequate oxygen reserve. Options 1, 2, and 3 are inaccurate nursing actions and are unnecessary.

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