A Nurse Midwife Is Assessing a Client at 34 Weeks

Multiple Choice

A nurse midwife is assessing a client at 34 weeks' gestation. An external fetal heart monitor is attached. Which of the following assessment findings suggest fetal distress?
I. Fetal heart rate decreases at the onset of contractions and returns to baseline after the contraction
II. Fetal heart rate of 130 beats per minute
III. Greenish amniotic fluid
IV. Continuous decrease in baseline variability

A) I and II
B) I and III
C) III and IV
D) I, III, and IV