Assessment

Assessment ( 15 Questions)

A nurse is caring for a client in pre-term labor and suspects an infection.

Which assessment finding would support this suspicion?



Correct Answer: A

A decrease in fetal heart rate can indicate fetal distress due to infection, hypoxia, or cord compression.

Normal fetal heart rate is between 110 and 160 beats per minute.

Choice B. Increased uterine contractions is wrong because it is a normal sign of pre-term labor and does not necessarily indicate infection.

Choice C. Decreased fluid intake is wrong because it is not a specific sign of infection and can have other causes such as nausea, vomiting, or decreased thirst.

Choice D. Decreased cervical changes is wrong because it is also not a specific sign of infection and can indicate ineffective contractions or cervical incompetence.




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