You are evaluating the fetal monitor tracing of your client,who is in active labor. Suddenly you see the fetal heart rate (FHR) drop from its baseline of 125 down to 80. You reposition the mother,provide oxygen,increase intravenous (IV) fluid,and perform a vaginal examination. The cervix has not changed. Five minutes have passed,and the fetal heart rate remains in the 80s. What additional nursing measures should you take?
A)Scream for help.
B)Insert a Foley catheter.
C)Start pitocin.
D)Notify the care provider immediately.

Question

Quizplus · Accepted Answer

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

You Are Evaluating the Fetal Monitor Tracing of Your Client,who