When a nonreassuring pattern of the fetal heart rate is noted and the mother is lying on her left side, what nursing action is indicated?
a. Lower the head of the bed.
b. Place the mother in a Trendelenburg position.
c. Change her position to the right side.
d. Place a wedge under the left hip.
C
Feedback
A Repositioning to the opposite side is the first intervention. If unsuccessful with
improving the FHR pattern, further changes in position can be attempted.
B The Trendelenburg position is not appropriate for early interventions. If
unsuccessful with improving the FHR pattern with other types of position
changes, Trendelenburg may be the choice.
C Repositioning on the opposite side may relieve compression on the umbilical
cord and improve blood flow to the placenta.
D The woman is already on her left side, so a wedge on that side is not an
appropriate choice.
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