Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A nurse is assisting with the care of a client who is in the latent phase of labor and just had an amniotomy.Which of the following findings indicates that the fetus is at risk?
Correct answer
A
Rationale
This finding indicates fetal distress. Recurrent variable decelerations in the fetal heart rate (FHR) can be a sign of umbilical cord compression, which can compromise fetal oxygenation.