The nurse is evaluating the EFM tracing of the client who is in active labor.Suddenly,the FHR drops from its baseline of 125 down to 80 beats per minute.The mother is repositioned,and the nurse provides oxygen,increased IV fluids,and performs a vaginal examination.The cervix has not changed.Five minutes have passed,and the FHR remains in the 80s.What additional nursing measures should the nurse take next?

Question

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To relieve an FHR deceleration,the nurse can reposition the mother,increase IV fluids,and provide oxygen.If oxytocin is infusing,then it should be discontinued.If the FHR does not resolve,then the primary care provider should be immediately notified.Inserting a Foley catheter is an inappropriate nursing action.If the FHR were to continue in a nonreassuring pattern,then a cesarean section could be warranted,which would require a Foley catheter.However,the physician must make that determination.The administration of Pitocin may place additional stress on the fetus.

The Nurse Is Evaluating the EFM Tracing of the Client