During auscultation of fetal heart tones (FHTs), the nurse determines that the heart rate is 136 beats per minute. The nurse's next action should be to:

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Possible Complications in Early Pregnancy Questions

Question 1 of 5

During auscultation of fetal heart tones (FHTs), the nurse determines that the heart rate is 136 beats per minute. The nurse's next action should be to:

Correct Answer: A

Rationale: The normal fetal heart rate falls between 110 and 160 beats per minute, so the nurse should document the results as within the normal range. There is no indication of fetal distress based on the heart rate provided. Verifying with the maternal pulse or having the patient change positions is unnecessary in this scenario.

Question 2 of 5

Which problem should the nurse use when planning care for this client?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

Which statement will the nurse make before assessing if the client is a victim of intimate partner violence (IPV)?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

How should the nurse respond if asked if there are vaccines available to prevent STIs?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which information regarding a colposcopy should the nurse give to the client?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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