While assisting with a vacuum extraction birth, which should the nurse immediately report to the physician?
a. Maternal pulse rate of 100 bpm
b. Maternal blood pressure of 120/70 mm Hg
c. Persistent fetal bradycardia below 100 bpm
d. Decreased intensity of uterine contractions
ANS: C
Fetal bradycardia may indicate fetal distress and may require immediate intervention. Maternal pulse rate may increase due to the pushing process. Blood pressure of 120/70 mm Hg is within expected norms for this stage of labor. Decreased intensity of uterine contractions indicates the birth is imminent at this point.
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