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The nurse is caring for a client with mild active bleeding from placenta previ

a. Which of the following observations indicates that an emergency cesarean section may be necessaryA. Increased maternal blood pressure of 150/90 mmHg.B. Decreased amount of vaginal bleeding.C. Fetal heart rate of 80 beats per minute.D. Maternal heart rate of 65 beats per minut

答案

参考答案:C

解析:A drop in fetal heart rate signals fetal distress and may indicate the need for a cesarean delivery to prevent neonatal death. Maternal blood pressure, pulse rate, respiratory rate, intake and output, and description of vaginal bleeding are all important assessment factors; however, changes in these factors don’t always necessitate the delivery of the neonate.

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