Question

When examining the fetal monitor strip after rupture of the membranes in a laboring client, the nurse notes variable decelerations in the fetal heart rate. The nurse should:

1.Stop the oxytocin infusion
2.Change the client's position
3.Prepare for immediate delivery
4.Take the client's blood pressure

Answer 1

When examining the fetal monitor strip after rupture of the membranes in a laboring client, if variable decelerations in the fetal heart rate are noted, the nurse should change the client's position.

Step-by-step explanation:

When examining the fetal monitor strip after rupture of the membranes in a laboring client, if the nurse notes variable decelerations in the fetal heart rate, the nurse should change the client's position. This is because changing the client's position can help relieve pressure on the umbilical cord and improve fetal oxygenation. It is important to note that the nurse should also inform the healthcare provider of the variable decelerations so that further interventions can be considered if necessary.