Question

A client in labor, who is at term, is admitted to the birthing room. The fetus is in the left occiput posterior (LOP) position. Her membranes rupture spontaneously. What observation requires the nurse to notify the practitioner immediately?

A. Greenish amniotic fluid
B. Shortened intervals between contractions
C. Clear amniotic fluid with specks of mucus
D. Decreased fetal heart rate at the beginning of contractions

Answer 1

The observation that requires the nurse to notify the practitioner immediately is decreased fetal heart rate at the beginning of contractions.

Step-by-step explanation:

The observation that requires the nurse to notify the practitioner immediately is decreased fetal heart rate at the beginning of contractions. When the fetal heart rate decreases at the beginning of contractions, it could be a sign of fetal distress or cord compression, which requires immediate medical attention. This observation indicates that the fetus may not be tolerating the labor well and needs intervention.