Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should:
a. maintain the normal assessment routine.
b. administer O2 at 8 to 10 L/min by face mask.
c. increase the IV flow rate from 125 to 150 mL/hr.
d. assess the maternal blood pressure for a systolic pressure below 100 mm Hg.
ANS: A
Decelerations that mirror the contraction are early decelerations caused by fetal head compression. Early decelerations are not associated with fetal compromise and require no intervention. Administering O2, increasing the IV flow rate, and assessing for hypotension are not necessary in early decelerations.
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