When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply
Turn the patient to her side.
Provide 2-3 liters of oxygen via mask
Notify the health care provider.
Stop the oxytocin
Correct Answer : A,B,C,D
A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.
B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.
C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.
D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.
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Related Questions
Correct Answer is C
Explanation
A. Pitocin is used to induce or augment labor but is not indicated specifically for a GBS-positive patient.
B. Azithromycin is used for treating chlamydia, not for group B streptococcus (GBS).
C. Penicillin G is the recommended treatment for GBS-positive mothers during labor to prevent neonatal infection. It is administered intravenously.
D. Magnesium Sulfate is used for pre-eclampsia or preterm labor, not for GBS prevention.
Correct Answer is B
Explanation
A. Calcium gluconate is used for hypocalcemia, not for treating hypotension.
B. Ephedrine is a vasopressor used to treat hypotension, which can occur as a side effect of epidural anesthesia by helping to increase blood pressure.
C. Apresoline is an antihypertensive and would not be appropriate for treating hypotension.
D. Nifedipine is a calcium channel blocker used for hypertension, not for treating hypotension related to epidural anesthesia.
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