The fetal heart rate baseline is 140 beats per minute. When contractions begin, the fetal heart rate drops suddenly to 120 and rapidly returns to 140 before the end of the contraction. Which nursing intervention is best?
A) Determine the color of the leaking amniotic fluid.
B) Apply oxygen to the client at 2 L per nasal cannula.
C) Notify the operating room of the need for a cesarean birth.
D) Assist the client to change from the Fowler position to the left lateral position.

Question

Quizplus · Accepted Answer

The described pattern is indicative of early decelerations in fetal heart rate, which are generally not a sign of fetal distress and are caused by fetal head compression during contractions. Changing the mother's position to the left lateral position can improve uteroplacental blood flow, potentially optimizing fetal oxygenation and well-being without the need for more invasive interventions.

The Fetal Heart Rate Baseline Is 140 Beats Per Minute