The baseline fetal heart rate is 135 beats per minute. Following contractions, the fetus develops late decelerations. Which nursing intervention should be implemented first?
1. Facilitate a maternal left lateral position.
2. Alert the healthcare provider of the fetal status.
3. Decrease the rate of infusion of intravenous fluids.
4. Administer oxygen to the client at 4 L per minute via nasal cannula.
1
Explanation:
1. In the treatment of late decelerations, the mother should immediately be placed in the left lateral position in order to promote maximal uteroplacental blood flow.
2. While the attending healthcare provider should be notified, the priority nursing interventions target alleviation of the causative factors by way of direct client care. Initially, the mother should be placed in the left lateral position.
3. Nursing interventions indicated in the treatment of late decelerations include increasing the rate of administration of intravenous fluids.
4. Initially, the mother should be placed in the left lateral position to promote maximal uteroplacental blood flow. Next, oxygen should be administered at a rate of 7 to 10 L per minute via face mask.
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