
The nurse auscultates the fetal heart rate and determines a rate of 152 bpm. Which nursing intervention is most appropriate at this time?
A) Inform the mother that the fetal heart rate is normal.
B) Reassess the fetal heart rate in 5 minutes because the rate is too high.
C) Report the fetal heart rate to the physician or nurse-midwife immediately.
D) Suggest to the mother that she is going to have a boy because the heart rate is fast.
Correct Answer:
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