To clarify the fetal condition when baseline variability is absent, the nurse should first:
a. monitor fetal oxygen saturation using fetal pulse oximetry.
b. notify the physician so that a fetal scalp blood sample can be obtained.
c. apply pressure to the fetal scalp with a glove finger using a circular motion.
d. increase the rate of nonadditive IV fluid to expand the mother's blood volume.
ANS: C
Fetal scalp stimulation helps identify whether the fetus responds to gentle massage. An acceleration in response to the massage suggests that the fetus is in normal oxygen and acid-base balance. Monitoring fetal oxygen saturation using fetal pulse oximetry is no longer available in the United States. Obtaining a fetal scalp blood sample is invasive and the results are not immediately available. Increasing the rate of nonadditive IV fluid would not clarify the fetal condition.
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