Aclient at 42 weeks of gestation is 3 cm dilated and 30% effaced, with membranes intact and the fetus at 12 station. fetal heart rate (fhr) is 140 beats/minute. after 2 hours, the nurse notes that, for the past 10 minutes, the external fetal monitor has been displaying an fhr of 190 beats/minute. the client states that her baby has been extremely active. uterine contractions are strong, occurring every 3 to 4 minutes and lasting 40 to 60 seconds. which finding would indicate fetal hypoxia?

Excessive fetal activity and fetal tachycardia

Explanation:

In the case shown above, excessive fetal activity and fetal tachycardia indicate fetal hypoxia.

Fetal hypoxia is the decrease or absence of oxygen uptake by the fetus through the placenta. This condition can be acute or chronic.

In many cases this suffering is implied by a maternal pathology that causes a reduction in their blood oxygen concentration, such as, for example, in a case of significant anemia, a respiratory or cardiac problem. There are also other maternal pathologies that result in inefficient placental irrigation, as in the case of hypertension or gestational diabetes, thus leading to decreased fetal oxygenation. Although these problems do not point to obvious changes in oxygenation during pregnancy, they may lead to an insufficiency during delivery due to the mother's effort or when there is a reduction in placental irrigation during uterine contractions. In addition, problems occurring at delivery, such as placenta previa and premature detachment of the placenta, may result in more severe problems with fetal oxygenation.

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