The perinatal nurse providing care to a laboring woman recognizes a non-reassuring fetal heart rate tracing. Which of the following is the most appropriate initial action by the nurse?
A.
Assist the woman to a left lateral position.
B.
Decrease the rate of the intravenous solution.
C.
Document the fetal heart rate and variability.
D.
Request that the provider apply a fetal scalp electrode.
ANS: A
Because nonreassuring fetal heart rate patterns constitute a risk indicator for cesarean birth, the nurse and all members of the health-care team must be ready for this outcome at all times. The nurse should change the woman's position to her side to increase oxygen flow to the fetus. The rate of the IV solution can be increased. Documentation should always be thorough. Fetal scalp electrodes may or may not need to be placed.
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