External Maternal Monitoring Related

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A nurse is monitoring a laboring person for signs of fetal distress. Which finding is most indicative of fetal distress?

  • A. bradycardia
  • B. tachycardia
  • C. late decelerations
  • D. variable decelerations
Correct Answer: A

Rationale: The correct answer is A: bradycardia. Fetal distress is often indicated by a decreased fetal heart rate (bradycardia), which can be a sign of inadequate oxygenation. Bradycardia is a serious concern in labor and requires immediate intervention. Tachycardia (B) is an increased heart rate, which can indicate fetal distress but is not as specific as bradycardia. Late decelerations (C) are associated with uteroplacental insufficiency, not necessarily fetal distress. Variable decelerations (D) are often related to cord compression and can be a sign of fetal distress, but bradycardia is a more direct indicator.