When a nonreassuring pattern of the fetal heart rate is noted and the mother is lying on her left side, what nursing action is indicated?
a. Lower the head of the bed.
b. Place the mother in Trendelenburg position.
c. Change her position to the right side.
d. Place a wedge under the left hip.
C
Repositioning on the opposite side may relieve compression on the umbilical cord and im-prove blood flow to the placenta.
Repositioning to the opposite side is the first intervention. If unsuccessful with improving the FHR pattern, further changes in position can be attempted.
Trendelenburg position is not appropriate for early interventions. If unsuccessful with im-proving the FHR pattern with other types of position changes, Trendelenburg may be the choice.
The woman is already on her left side, so a wedge on that side would not be an appropriate choice.
You might also like to view...
The nurse expects to find which of the following laboratory study results present in a patient suspected of having osteomalacia:
A) High serum calcium and low phosphatase level B) High serum calcium and high phosphatase level C) Low serum calcium and high phosphorus level D) Low serum calcium and low phosphorus level
The client who delivered two hours ago tells the nurse that she is exhausted but feels guilty because her friends told her how euphoric they were after giving birth. How should the nurse respond to the client?
A. "Everyone is different and both responses are normal." B. "Most mothers do feel euphoria; I don't know why you don't." C. "It's good for me to know that because it might indicate a problem." D. "Let me bring your baby to the nursery so that you can rest."
A fit, young woman was at zero nitrogen balance. The nurse discovers that this patient is now pregnant with her first child. For what is this patient at risk?
a. Embolism b. Anabolism c. Catabolism d. Metabolism
A nurse is aware of the high incidence of catheter-related bloodstream infections in patients receiving parenteral nutrition. What nursing action has the greatest potential to reduce catheter-related bloodstream infections?
A) Use clean technique and wear a mask during dressing changes. B) Change the dressing no more than weekly. C) Apply antibiotic ointment around the site with each dressing change. D) Irrigate the insertion site with sterile water during each dressing change.