CNM Certified Nurse Midwife

Category - Intrapartum

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A G3P2 client at 41 weeks’ gestation is in labor. The nurse midwife determines that the client has a cervical dilatation of 10 cm. At this time, the nurse would auscultate for the fetal heart tone:

Every 5 to 15 minutes.
Every 30 minutes.
Every 30 to 60 minutes.
At the start of each contraction.

Explanation

Answer: A - Full cervical dilatation occurs when the cervix is dilated to 10 cm, so the client is in the second stage of labor. The nurse midwife should assess for the fetal heart tone every 5 to 15 minutes during this stage. Alternatively, some facilities recommend assessment of FHT after each contraction.

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