Question

During auscultation of the fetal heart rate (FHR) during labor. The nurse assesses a rate of 59 beats/min. Which actions should the nurse take first?

A. Turn the mother on her right side, open the IV line and call the HCP
B. Turn the mother on her left side, administer O2 NC and start and IV
C. Call the HCP
D. Place the mother in Trendelenburg, administer O2 and force fluids.

Answer 1

The nurse should turn the mother on her left side, administer O2 NC, and start an IVC as the first action when assessing a FHR of 59 beats/min during labor.

Step-by-step explanation:

The nurse should turn the mother on her left side, administer O2 NC, and start an IVC as the first action when assessing a fetal heart rate (FHR) of 59 beats/min during labor. Turning the mother on her left side helps improve blood supply to the fetus and can improve the FHR. Administering oxygen can also help improve oxygenation to the fetus. Starting an IVC can provide fluids and medications as needed.