Although D.H. continues to use alternative therapies for discomfort, she asks for pain medication and
receives a dose of meperidine (Demerol).
Three hours later, D.H. is lying on her back, and during contrac-
tions you notice a few late decelerations of the FHR. You stay with D.H. to monitor her and her fetus and
immediately call for someone to notify the primary care provider.
Put these actions in order of priority:
______ a. Discontinue the oxytocin infusion.
______ b. Turn D.H. onto her left side and elevate her legs.
______ c. Increase the rate of the maintenance IV fluids.
______ d. Administer oxygen at 8 to 10 L/min by facemask.
a. 3;
b. 1;
c. 2;
d. 4
Late decelerations of FHR might indicate fetal distress. At the first sign of these, the mother
should be turned to her left side (or right side if she has been lying on her left side), with her legs
elevated to reduce maternal hypotension. The maintenance (not medication) infusion IV rate should
be increased, and if oxytocin is infusing it should be discontinue
d. Oxygen should be administere
d.
Stay with the patient to monitor her and the fetus, and have someone immediately notify the PCP.
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