Which fetal heart rate should the practical nurse (PN) report immediately to the registered nurse (RN)?

Which fetal heart rate should the practical nurse (PN) report immediately to the registered nurse (RN)?

• A. 120 beats per minute
• B. 150 beats per minute
• C. 160 beats per minute
• D. 180 beats per minute

Answer: (D)

A fetal heart rate of 180 beats per minute indicates tachycardia, which is a concerning sign that requires immediate attention. Normal fetal heart rates typically range from 110 to 160 beats per minute. When the fetal heart rate exceeds this range, especially at such a high level, it can indicate potential complications that the healthcare team must assess further. Possible causes of fetal tachycardia include maternal fever, infection, fetal distress, or complications related to the pregnancy itself. In this context, a heart rate of 120 beats per minute, 150 beats per minute, and 160 beats per minute are all considered within normal limits and do not typically warrant immediate intervention. Therefore, the significantly elevated rate of 180 beats per minute stands out as abnormal and necessitates prompt evaluation by the registered nurse to determine the underlying cause and initiate appropriate interventions. Recognizing and responding to such changes in fetal heart patterns is critical for ensuring the health and safety of both the fetus and the mother.

A fetal heart rate of 180 beats per minute indicates tachycardia, which is a concerning sign that requires immediate attention. Normal fetal heart rates typically range from 110 to 160 beats per minute. When the fetal heart rate exceeds this range, especially at such a high level, it can indicate potential complications that the healthcare team must assess further. Possible causes of fetal tachycardia include maternal fever, infection, fetal distress, or complications related to the pregnancy itself.

In this context, a heart rate of 120 beats per minute, 150 beats per minute, and 160 beats per minute are all considered within normal limits and do not typically warrant immediate intervention. Therefore, the significantly elevated rate of 180 beats per minute stands out as abnormal and necessitates prompt evaluation by the registered nurse to determine the underlying cause and initiate appropriate interventions. Recognizing and responding to such changes in fetal heart patterns is critical for ensuring the health and safety of both the fetus and the mother.