A client in her second trimester of pregnancy is seen at the health care clinic. The...
Homework Answers
The normal fetal heart rate is about 110 to 160 bpm. FHR less than 110 bpm indicates fetal bradycardia.
Nursing Action:
- Help the mother to turn to left lateral to ease the compression of uterus on abdominal aorta which could be a cause for uteroplacental insufficiency.
- Transient sinus bradycardia is seen second trimester due to immature sympathetic nervous system and cannot respond to the increased vagal stimulation (parasympathetic stimulation). So the nurse has to wait for sometime and then check the FHR again to confirm the bradycardia.
- Reassess the FHR, fetal movements and if still bradycardia continues report to the obstetrician so that ultrasound and echocardiogram can be taken to diagnose the problem (Bradycardia may indicate fetal distress, heart block or congenital heart diseases or other maternal uterine problems).
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client in her second trimester of pregnancy is seen at the health
care clinic. The...
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