Which of the following would indicate the need for immediate medical intervention during labor?

Prepare for the NCLEX exam. Use multiple choice questions and flashcards to optimize your study for the Antepartum and Intrapartum sections. Each question provides hints and explanations. Get exam-ready today!

The need for immediate medical intervention during labor is indicated by non-reassuring fetal heart patterns. These patterns can suggest that the fetus is experiencing stress, which could indicate issues such as fetal hypoxia or compromised blood flow. Non-reassuring patterns often manifest as bradycardia (a sustained low heart rate) or variable decelerations that do not resolve. Such signs may necessitate prompt evaluation and possible interventions, such as changing the mother's position, providing supplemental oxygen, or in more severe cases, expedited delivery to protect the health and well-being of the fetus.

In contrast, sustained increases in fetal heart rate, while sometimes concerning, may not be as immediately critical as non-reassuring patterns. Presence of fetal movement is typically a positive sign, indicating fetal well-being. Normal uterine contractions are also expected during labor and do not signify an immediate need for intervention. Thus, recognizing the significance of non-reassuring fetal heart patterns is crucial for ensuring timely and appropriate medical response during labor.

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