Client is at 38 weeks' gestation, gravida 1, para 0, vaginal exam-4 cm, 100% effaced, +1 station vertex. What is the most likely intervention for this fetal heart rate pattern?

Question

Quizplus · Accepted Answer

Late decelerations indicate fetal compromise (uteroplacental insufficiency) and are considered to be a significant event requiring immediate assessment and intervention. Of all the options listed, changing maternal position may increase placental perfusion. In the presence of late decelerations, Pitocin infusion should be stopped. Contacting anesthesia for epidural administration will not solve the existing problem of late decelerations. There are no data to support the administration of Narcan and because client is still in early labor, birth is not imminent.

Client Is at 38 Weeks' Gestation, Gravida 1, Para 0