Question

A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings Should the nurse report to the provider?

A. 1-hour glucose tolerance test (120 mg/dL)
B. Hematocrit (34%)
C. Fundal height measurement (30 cm)
D. Fetal Heart Rate (110 bpm)

Answer 1

The nurse should report the fetal heart rate (FHR) of 110 bpm, as it is below the normal range of 120 to 160 bpm and may indicate complications.

Step-by-step explanation:

In the scenario where a nurse is providing care for a client at 26 weeks of gestation, the nurse should report finding D. Fetal Heart Rate (FHR) of 110 bpm to the provider. A normal FHR is typically between 120 to 160 bpm. A lower FHR can indicate potential complications such as fetal distress or hypoxia. The 1-hour glucose tolerance test result of 120 mg/dL (A) is within normal limits, a hematocrit value of 34% (B) is slightly low but within normal limits for a pregnant woman, and a fundal height measurement of 30 cm (C) is commonly acceptable given that the measurement in centimeters often correlates with the number of weeks of gestation plus or minus 2 cm.