Difficulty: Medium
Average Score: 76%
Simulated
Passage / Scenario
A client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluidA nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Correct answer
C
Rationale
Variable decelerations result from umbilical cord compression, reducing blood flow. Narcotics may cause other patterns, head compression causes early decelerations, and insufficiency causes late decelerations.