Final answer:
Nursing actions for nonreassuring FHR during labor induction include assessing and monitoring the FHR, repositioning the mother, administering oxygen, stopping or adjusting induction medications, and preparing for emergency delivery.
Step-by-step explanation:
Nonreassuring fetal heart rate (FHR) during labor induction requires prompt nursing actions to ensure the safety and well-being of the mother and baby.
1. Assess and monitor the FHR: Continuously monitor the FHR using electronic fetal monitoring (EFM) to detect any abnormal patterns or changes.
2. Reposition the mother: Change the mother's position to optimize blood flow to the uterus and improve oxygenation to the baby. This can be done by turning the mother from one side to another or having her assume a hands-and-knees position.
3. Administer oxygen: Provide oxygen to the mother via a face mask or nasal cannula to increase the oxygen supply to the baby.
4. Stop or adjust induction medications: If the FHR abnormalities persist or worsen, the healthcare provider may need to stop or reduce the dose of medications used for labor induction, such as pitocin.
5. Prepare for emergency delivery: In severe cases of nonreassuring FHR, the healthcare team should be prepared for emergency interventions, such as vacuum extraction, forceps-assisted delivery, or cesarean section.