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Fetal heart tones 160bpm
A moderate amount of straw-colored fluid
A small amount of greenish fluid
A small segment of the umbilical cord
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“We have a name picked out for the baby.”
“I need to push when I have a contraction.”
“I can’t concentrate if anyone is touching me.”
“When can I get my epidural?”
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Reposition the monitor
Turn the client to her left side
Ask the client to ambulate
Prepare the client for delivery
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A painless delivery
Cervical effacement
Infrequent contractions
Progressive cervical dilation
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Anticipate the need for a Caesarean section
Apply the fetal heart monitor
Place the client in Genupectoral position
Perform an ultrasound exam
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The cervix is closed.
The membranes are still intact.
The fetal heart tones are within normal limits.
The contractions are intense enough for insertion of an internal monitor.
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Impaired gas exchange related to hyperventilation
Alteration in placental perfusion related to maternal position
Impaired physical mobility related to fetal-monitoring equipment
Potential fluid volume deficit related to decreased fluid intake
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The baby is asleep.
The umbilical cord is compressed.
There is a vagal response.
There is uteroplacental insufficiency.
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Notify her doctor
Start an IV
Reposition the client
Readjust the monitor
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A fetal heart rate of 170–180 bpm
A baseline variability of 25–35 bpm
Ominous periodic changes
Acceleration of FHR with fetal movements
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