The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but the deceleration begins near the acme of the contraction and continues well beyond the end of the contraction

Question

Which nursing action indicates the proper evaluation of this situation? a. Continue to monitor these early decelerations, which occur as the fetal head is compressed during a contraction.
b. This deceleration pattern is associated with uteroplacental insufficiency, so the nurse acts quickly to improve placental blood flow and fetal oxygen supply.
c. This pattern reflects variable decelerations. No interventions are necessary at this time.
d. Document this reassuring fetal heart rate pattern but decrease the rate of the intravenous fluid.

Answer 1

B
This is a description of a late deceleration. Oxygen should be given via snug face mask. Position client on her left side to increase placental blood flow. Variable decelerations are caused by cord compression. A vaginal examination should be performed to identify this potential emergency. The intravenous rate should be increased to increase the mother's blood volume.