The baseline fetal heart rate is 135. Thirty seconds after the onset of a contraction, the heart rate begins to slow; after the peak of the contraction, the heart rate is 110; thirty seconds after completion of the contraction, the heart rate is
back to 135. Which nursing action is most important? 1. Assist the client to change from Fowler's to left lateral position.
2. Document the fetal heart rate.
3. Apply oxygen via mask at 10 liters.
4. Check the cervix for labor progress.
3
Rationale:
1. Although left lateral position would be beneficial to optimize uterine blood flow and therefore fetal oxygenation, giving the client oxygen is a higher priority.
2. Documentation is an appropriate action when normal findings exist. This client is exhibiting late decelerations, which require intervention.
3. This client is exhibiting late decelerations; applying high-flow oxygen via face mask is the best intervention to increase fetal oxygenation.
4. This client is exhibiting late decelerations, which require intervention to improve fetal oxygenation. Assessing the cervix would not improve fetal oxygenation.
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Arrange the following decimals from largest to smallest: 1.5 0.25 1.025
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