Question

What are the first nursing interventions (in order) for treating variable decelerations?

Answer 1

The first interventions for treating variable decelerations include changing the birthing person's position, administering oxygen, discontinuing oxytocic drugs, and performing a vaginal examination to assess for cord prolapse.

Step-by-step explanation:

Variable decelerations in fetal heart rate can indicate cord compression, which requires prompt nursing interventions to improve fetal oxygenation and reduce fetal distress. The initial and most crucial steps to address variable decelerations include:

1. Change the birthing person's position, usually to the left lateral position, to relieve pressure on the umbilical cord and promote better blood flow.
2. Administer oxygen via a face mask at 8-10 liters per minute to increase the amount of oxygen available to the fetus.
3. Discontinue any oxytocic drugs, such as Pitocin, if they are being administered, as they can contribute to the occurrence of decelerations by increasing uterine activity.
4. Perform a vaginal examination to check for cord prolapse or other issues requiring immediate medical intervention.

If the variable decelerations persist after these measures, further medical assessment and interventions, such as amnioinfusion or delivery, may be necessary.