ATI LPN Maternity Exam
ATI LPN Maternity Exam ( 79 Questions)
A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take first?
rationale:
Elevating the client's legs is not the first action to address late decelerations. Positioning the client on her side is the priority intervention.
rationale:
Administering oxygen via a face mask is an appropriate intervention for late decelerations, but it is not the first action. Positioning the client on her side is the priority.
rationale:
Positioning the client on her side can relieve pressure on the vena cava and improve fetal oxygenation, which is crucial in managing late decelerations.
rationale:
Increasing the infusion rate of the IV fluid may not directly address the cause of late decelerations and is not the first action to take in this situation.
Choice A rationale:
Elevating the client's legs is not the first action to address late decelerations. Positioning the client on her side is the priority intervention.
Choice B rationale:
Administering oxygen via a face mask is an appropriate intervention for late decelerations, but it is not the first action. Positioning the client on her side is the priority.
Choice C rationale:
Positioning the client on her side can relieve pressure on the vena cava and improve fetal oxygenation, which is crucial in managing late decelerations.
Choice D rationale:
Increasing the infusion rate of the IV fluid may not directly address the cause of late decelerations and is not the first action to take in this situation.
