A client presents to labor and delivery for evaluation. Upon placing her on the monitor, you find the fetal heart rate to be consistently 170 to 180 bpm. What should the nurse do first?
a. Apply a fetal scalp electrode.
b. Apply oxygen at 10 liters per minute by face mask.
c. Prepare for cesarean delivery.
d. Take the mother's temperature.
D
A cause of fetal tachycardia may be maternal infection, so assessing the mother's temperature is a priority in this situation. Applying a fetal scalp electrode is appropriate for internal fetal monitoring, but is not the appropriate action for the information presented. Applying oxygen at 10 liters per minute by face mask and preparing for cesarean delivery are not appropriate actions.
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