A client in her second trimester of pregnancy has a fetal heart rate of 90 beats/minute. What is the appropriate nursing action?

Prepare for the Evolve Antepartum Test with comprehensive flashcards, multiple choice questions, hints, and explanations. Get exam-ready today!

The appropriate nursing action in this scenario is to notify the health care provider. A fetal heart rate of 90 beats per minute during the second trimester is considered abnormal and is classified as bradycardia. Normal fetal heart rates typically range from 110 to 160 beats per minute. This significant deviation indicates potential fetal distress or complications that need immediate medical evaluation.

Prompt communication with the healthcare provider is essential, as they may need to perform further assessments or interventions to ensure the well-being of both the mother and the fetus. Early detection and response to abnormal fetal heart rates are crucial in preventing potential adverse outcomes. The other options, while they may have their place in routine care, do not address the immediate concern presented by an abnormal fetal heart rate and could delay vital interventions.

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