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The Nurse Is Caring for a 30-Year-Old Woman Who Is

Question 5

Multiple Choice

The nurse is caring for a 30-year-old woman who is G4P2012 at 38 weeks and 5 days gestation. The nurse is watching her EFM strip and notices that for the past 10 minutes the fetus has shown minimal variability. Which actions should the nurse perform? Select all that apply.


A) Check to see if the patients' membranes have been ruptured, as there could be potential cord compression.
B) Look to see what the patient's position is and is she supine; change her to left side lying.
C) Continue to watch the strip, but know that this could be due to fetal sleep.
D) Recognize that the fetus is 38 weeks and therefore this could be due to fetal maturity.
E) Check the FHR and connect the minimal variability to fetal bradyasystole.

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