The nurse notes persistent early decelerations on the fetal monitoring strip. Which of the following would the nurse do next?
A) Continue to monitor the FHR because this pattern is benign.
B) Perform a vaginal exam to assess cervical dilation and effacement.
C) Stay with the client while reporting the finding to the physician.
D) Administer oxygen after turning the client on her left side.
A
Response:
Early decelerations are not indicative of fetal distress and do not require intervention. Therefore, the nurse would continue to monitor the fetal heart rate pattern. There is no need to perform a vaginal exam, report the finding to the physician, or administer oxygen.
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