Interpretation of results
Interpretation of results ( 4 Questions)
A nurse is assessing a client who is in labor and has meconium-stained amniotic fluid.
The nurse observes variable decelerations on the EFM tracing, which are decelerations that have an abrupt onset and vary in shape, duration, and degree of fall below the baseline FHR.
What is the most appropriate nursing intervention for this situation?
Repositioning the client may not be enough to improve placental blood flow and prevent fetal hypoxia.
Administering oxygen to the client may not be sufficient to increase fetal oxygenation if the cord is compressed.
Prepare for an amnioinfusion to dilute the meconium and relieve cord compression.
An amnioinfusion is a procedure in which sterile fluid is infused into the uterus through a catheter to increase the volume of amniotic fluid and reduce the risk of fetal distress caused by meconium aspiration or cord compression.
An emergency cesarean delivery may not be necessary if an amnioinfusion can resolve the variable decelerations and improve fetal well-being.
Prepare for an amnioinfusion to dilute the meconium and relieve cord compression.
An amnioinfusion is a procedure in which sterile fluid is infused into the uterus through a catheter to increase the volume of amniotic fluid and reduce the risk of fetal distress caused by meconium aspiration or cord compression.
Variable decelerations are a sign of cord compression and can be alleviated by an amnioinfusion.
Choice A is wrong because repositioning the client may not be enough to improve placental blood flow and prevent fetal hypoxia.
Choice B is wrong because administering oxygen to the client may not be sufficient to increase fetal oxygenation if the cord is compressed.
Choice D is wrong because an emergency cesarean delivery may not be necessary if an amnioinfusion can resolve the variable decelerations and improve fetal well-being.