When a nonreassuring pattern of the fetal heart rate is noted and the client is lying on her left side, which nursing action is indicated?
a. Lower the head of the bed.
b. Place a wedge under the left hip.
c. Change her position to the right side.
d. Place the mother in Trendelenburg position.
ANS: C
Repositioning on the opposite side may relieve compression on the umbilical cord and improve blood flow to the placenta. Lowering the head of the bed would not be the first position change choice. The woman is already on her left side, so a wedge on that side would not be an appropriate choice. Repositioning to the opposite side is the first intervention. If unsuccessful with improving the FHR pattern, further changes in position can be attempted; the Trendelenburg position might be the choice.
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