When a pattern of variable decelerations occur, the nurse should:
a. administer O2 at 8 to 10 L/min.
b. place a wedge under the right hip.
c. increase the IV fluids to 150 mL/hr.
d. position client in a knee-chest position.
ANS: D
Variable decelerations are caused by conditions that reduce flow through the umbilical
cord. The client should be repositioned when the FHR pattern is associated with cord compression. The knee-chest position uses gravity to shift the fetus out of the pelvis to relieve cord compression. Administering oxygen will not be effective until cord compression is relieved. Increasing the IV fluids and placing a wedge under the right hip are not effective interventions for cord compression.
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