Which of the following is the priority intervention for the ...

[mp14]

Which of the following is the priority intervention for the client in a left side-lying position whose monitor strip shows a deceleration that extends beyond the end of the contraction?
 
  a. Administer O2 at 8 to 10 L/min.
  b. Decrease the IV rate to 100 mL/hr.
  c. Reposition the ultrasound transducer.
  d. Perform a vaginal exam to assess for cord prolapse.

Question 2

When a pattern of variable decelerations occur, the nurse should:
 
  a. administer O2 at 8 to 10 L/min.
  b. place a wedge under the right hip.
  c. increase the IV fluids to 150 mL/hr.
  d. position client in a knee-chest position.

[dyrone]

Answer to Question 1

ANS: A
A deceleration that returns to baseline after the end of the contraction is a late deceleration caused by placental perfusion problems. Administering oxygen will increase the client's blood oxygen saturation, making more oxygen available to the fetus. Decreasing the IV rate, repositioning the ultrasound transducer, and performing a vaginal exam to assess for cord prolapse are not effective interventions to improve fetal oxygenation.

Answer to Question 2

ANS: D
Variable decelerations are caused by conditions that reduce flow through the umbilical
cord. The client should be repositioned when the FHR pattern is associated with cord compression. The knee-chest position uses gravity to shift the fetus out of the pelvis to relieve cord compression. Administering oxygen will not be effective until cord compression is relieved. Increasing the IV fluids and placing a wedge under the right hip are not effective interventions for cord compression.

[mp14]

Thanks for the timely response, appreciate it

[bblaney]

TYSM