1. As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165–175bpm with variability of 0–2bpm. What is the most likely explanation of this pattern? A. The baby is asleep. B. There is uteroplacental insufficiency. C. There is a vagal response. D. The umbilical cord is compressed. Answer D is correct. This information indicates a late deceleration. This type of deceleration is caused by uteroplacental insufficiency, or lack of oxygen. Answer A is incorrect because there is no data to support the conclusion that the baby is asleep; answer B results in a variable deceleration; and answer C is indicative of an early deceleration. 2. In evaluating the effectiveness of IV Pitocin for a client with secondary dystocia, the nurse should expect: A. A rapid delivery B. Cervical effacement C. Infrequen...