Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
A woman at 30 weeks of gestation with a fetal heart rate of 82 beats/min.What is the first action that the nurse should take when assessing the fetal heart rate (FHR) of a woman at 30 weeks of gestation and finding a rate of 82 beats/min?
Correct answer
C
Rationale
Assessing the maternal pulse rules out confusion with the FHR, as 82 beats/min suggests bradycardia, requiring confirmation before other actions.