Final answer:
Fetal Heart Rate (FHR) accelerations are primarily caused by fetal movement due to the pressure exerted on the uterine wall during labor. The best nursing treatment is steady and continuous monitoring of the FHR, to identify and respond to any extreme variations promptly.
Step-by-step explanation:
The primary cause of Fetal Heart Rate (FHR) accelerations is fetal movement. This is due to the pressure exerted by the fetus on the uterine wall during labor, inducing the production of oxytocin, which stimulates contractions. Other factors, such as maternal stress and hypertension, may also cause accelerations, however, they are not the primary causes.
The associated nursing treatment is steady and continuous monitoring. This is important because it helps in tracking the baby's wellbeing, noting any persistent increases or decreases in FHR, which could indicate fetal distress. If identified, professional medical intervention will be necessary.
A good example of this that can help you understand is during labor where the child's movement induces the release of oxytocin which prompts contractions. Consequently, this action triggers an increase in the FHR. As a nurse, you would need to keep monitoring the FHR, especially if there are any extreme variations in the rate that may be indicative of fetal distress.
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