A patient in the high-risk OB unit has suffered a seizure and is now postictal. She is on oxygen at 2L/minute. Which assessment by the nurse warrants immediate intervention?
A.
Fetal heart rate is 98 beats/minute on electronic fetal monitor strip.
B.
Maternal oxygen saturation is 94% by pulse oximetry.
C.
Mother is sleeping soundly and is difficult to arouse.
D.
Mother's respiratory rate is 12 breaths/minute.
ANS: A
After a seizure, all fetuses must be checked and accounted for. Fetal heart rate may show variability or bradycardia. A fetal heart rate of 98 is bradycardic, and the nurse should intervene immediately. Oxygen saturation of 94% is normal, a postictal patient will be drowsy and difficult to arouse, and a respiratory rate of 12 breaths/minute is normal.
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