The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first?<\/p>\n\n\n\n
A.
Administer oxygen via facemask.<\/p>\n\n\n\n
B.
Turn off the oxytocin infusion<\/p>\n\n\n\n
C.
Assess cervical dilatation<\/p>\n\n\n\n
D.
Change the client’s position<\/p>\n\n\n\n
The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n The correct answer is D. Change the client’s position<\/strong>.<\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Variable decelerations on a fetal monitor are often indicative of umbilical cord compression. These decelerations are characterized by abrupt decreases in fetal heart rate that start and end quickly, often with a variable shape. They can be concerning as they may suggest that the fetus is not receiving adequate oxygenation due to the compression of the umbilical cord.<\/p>\n\n\n\n Changing the client’s position<\/strong> is usually the first intervention because it can help alleviate the pressure on the umbilical cord, potentially resolving the variable decelerations. For instance, if the client is lying on their back, turning to the left or right side can improve blood flow and reduce cord compression. This simple maneuver is non-invasive and can immediately impact the fetal heart rate pattern.<\/p>\n\n\n\n Administering oxygen via facemask<\/strong> (Option A) is generally used when there’s a concern about fetal oxygenation, but it\u2019s usually not the first action. It\u2019s more of a supplementary measure rather than the primary intervention.<\/p>\n\n\n\n Turning off the oxytocin infusion<\/strong> (Option B) is appropriate if the variable decelerations are associated with uterine hyperstimulation, but it\u2019s not always necessary for every case of variable decelerations. It might be considered if the labor is being induced or augmented with oxytocin.<\/p>\n\n\n\n Assessing cervical dilatation<\/strong> (Option C) is part of routine labor management but does not directly address the issue of umbilical cord compression. While monitoring cervical dilatation is important, it doesn\u2019t immediately address the potential cause of the decelerations.<\/p>\n\n\n\n Therefore, the priority is to change the client\u2019s position to relieve possible umbilical cord compression and assess if that resolves the variable decelerations. If changing positions does not improve the fetal heart rate pattern, further interventions, such as oxygen administration or adjusting the oxytocin infusion, might be considered.<\/p>\n","protected":false},"excerpt":{"rendered":" The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first? A.Administer oxygen via facemask. B.Turn off the oxytocin infusion C.Assess cervical dilatation D.Change the client’s position The correct answer and Explanation is : The correct answer is D. Change the client’s position. Explanation: […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137614","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137614","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137614"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137614\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137614"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137614"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}