A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?
A.
Contractions every 2 minutes, lasting 100 seconds
B.
Fetal heart decelerations during a contraction
C.
Beat-to-beat variability between contractions
D.
Fetal heart decelerations at the beginning of contractions
(A) These are tetanic in nature and can cause rupture of the uterus. (B) The FHR decreases during contractions owing to vasoconstriction and should recover after the contraction. (C) Beat-to-beat variability is a normal finding and demonstrates fetal well-being. (D) The FHR may decrease at the beginning of a contraction owing to head compression.
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