The perinatal nurse providing care to a laboring woman recognizes a category II, fetal heart rate tracing. The most appropriate initial action is to:
a. Assist the laboring woman to a left lateral position
b. Decrease the intravenous solution
c. Request that the physician/certified nurse-midwife come to the hospital STAT
d. Document the fetal heart rate and variability
ANS: a
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a. Because Category II fetal heart rate patterns could deteriorate, they constitute a risk indicator for fetal hypoxia, the nurse should change the woman's position to her side to increase oxygen flow to the baby.
b. Because Category II fetal heart rate patterns could deteriorate, they constitute a risk indicator for fetal hypoxia, the nurse should increase, not decrease, the IV infusion to increase perfusion through the placenta.
c. The scenario described does not require STAT intervention but continued assessment after intrauterine resuscitation interventions.
d. Documentation of the FHR is important but not the most important action in this scenario.
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