The nurse is caring for a client who is 6 cm dilated with a fetus who has been diagnosed with a serious congenital heart defect.The client has rejected the use of continuous fetal monitoring so the nurse will use the Doppler and monitor the fetal heart rate (FHR)at what frequency?
A)Every 45 minutes
B)Every 30 minutes
C)Every 15 minutes
D)Every 5 minutes

Question

Quizplus · Accepted Answer

In cases where continuous fetal monitoring is rejected, intermittent monitoring using a Doppler is recommended. For a client in active labor (4-7 cm dilated), the American College of Obstetricians and Gynecologists (ACOG) recommends assessing the fetal heart rate every 15-30 minutes. Given the fetus's serious congenital heart defect, more frequent monitoring (every 15 minutes) is prudent to promptly identify any distress or changes in the fetal condition.

The Nurse Is Caring for a Client Who Is 6