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Fetal heart rate of 180 beats per minute
White blood cell count of 12.000
Maternal pulse rate of 85 beats per minute
Hemoglobin of 11.0 g/dL
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The client begins to expel clear vaginal fluid
The contractions are regular
The membranes have ruptured
The cervix is dilated completely
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Three contractions occurring within a 10-minute period
A fetal heart rate of 90 beats per minute
Adequate resting tone of the uterus palpated between contractions
Increased urinary output
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Identifying the types of accelerations
Assessing the baseline fetal heart rate
Determining the frequency of the contractions
Determining the intensity of the contractions
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Trendelenburg’s position with the legs in stirrups
Semi-Fowler position with a pillow under the knees
Prone position with the legs separated and elevated
Supine position with a wedge under the right hip
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Place the mother in the supine position
Document the findings and continue to monitor the fetal patterns
Administer oxygen via face mask
Increase the rate of Pitocin IV infusion
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Encourage the client’s coach to continue to encourage breathing exercises
Encourage the client to continue pushing with each contraction
Continue monitoring the fetal heart rate
Notify the physician or nurse midwife
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Document the findings and tell the mother that the monitor indicates fetal well-being
Take the mother’s vital signs and tell the mother that bed rest is required to conserve oxygen.
Notify the physician or nurse-midwife of the findings.
Reposition the mother and check the monitor for changes in the fetal tracing
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Noting if the heart rate is greater than 140 BPM
Placing the diaphragm of the Doppler on the mother’s abdomen
Performing Leopold’s maneuvers first to determine the location of the fetal heart
Palpating the maternal radial pulse while listening to the fetal heart rate
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