You are caring for a woman in labor. Your assessment of the fetal heart rate reveals a heart rate of 145 with moderate variability. There are no signs of decelerations or accelerations. What is your priority action?
a. Do nothing, since this is normal.
b. Contact the physician immediately.
c. Begin oxygen at 8 to 10 liters/minute.
d. Change the maternal position immediately.
A
The priority nursing action is to do nothing. A fetal heart rate of 145 with moderate variability is a normal situation. According to the classification system for fetal heart rate, this is a category 1 situation because the fetus shows no signs of decompensation.
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