Final answer:
The nursing actions for Tachysystole with normal Category 1 FHR primarily include close monitoring, and if necessary, administration of tocolytic medications and increasing IV fluids; encouraging pushing during contractions is not typically recommended.
Step-by-step explanation:
The student's question addresses the appropriate nursing actions for Tachysystole with a category 1 Fetal Heart Rate (FHR), which is considered normal. Tachysystole in the context of labor refers to an excessive frequency of uterine contractions, which may potentially reduce oxygenated blood flow to the fetus. In the case where FHR remains normal (Category 1), the standard nursing actions will depend on the situation and institutional protocols, but generally:
- Monitoring closely, no intervention may be needed if the FHR is category 1 and the patient is not showing signs of distress.
- Administration of tocolytic medications is often considered if the contractions are determined to be contributing to fetal distress or maternal discomfort.
- Increasing intravenous (IV) fluids can be useful to ensure the mother is well-hydrated which can sometimes reduce the frequency of contractions.
- Encouraging pushing during contractions is typically not recommended in the presence of tachysystole as it may further stress the fetus.
It should be noted that the term tachycardia is a broader term, often associated with a heart rate (HR) above 100 bpm in adults, and can indicate underlying issues such as fever, anemia, hypoxia, hyperthyroidism, or electrolyte imbalances. However, in the context of tachysystole during labor, the focus is on managing the uterine contractions to ensure the safety and well-being of both the mother and fetus.