
The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but the deceleration begins near the acme of the contraction and continues well beyond the end of the contraction. Which nursing action indicates the proper evaluation of this situation?
A) This pattern reflects variable decelerations. No interventions are necessary at this time.
B) Document this reassuring fetal heart rate pattern but decrease the rate of the intravenous (IV) fluid.
C) Continue to monitor these early decelerations, which occur as the fetal head is compressed during a contraction.
D) This deceleration pattern is associated with uteroplacental insufficiency, so the nurse acts quickly to improve placental blood flow and fetal oxygen supply.
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