(SOLVED) . Identify the fetal heart rate pattern and describe the possible factors responsible for it. b. Describe the PRIORITY
Discipline: Nursing
Type of Paper: Question-Answer
Academic Level: Undergrad. (yrs 1-2)
Paper Format: APA
Question
Terry is a primigravida at 43 weeks of gestation. Her labor is being stimulated with oxytocin administered IV. Her contractions have been increasing in intensity with a frequency of every 2 to 2.5 minutes and a duration of 80 to 85 seconds. She is currently in a supine position with a 30-degree elevation of her head. On observation of the monitor tracing, you note that during the last two contractions, the FHR decreased after the contraction peaked and did not return to baseline until about 10 seconds after the contraction ended. A slight decrease in variability and baseline rate were observed. a. Identify the fetal heart rate pattern and describe the possible factors responsible for it. b. Describe the PRIORITY (2-3) nursing interventions and include rationales.
Expert solution paper
a. Identify the fetal heart rate pattern and describe the possible factors responsible for it.
FHR is a late deceleration pattern. Preeclampsia, maternal diabetes
mellitus, or late- or post-term pregnancy are possible factors.
b. Describe the PRIORITY (2-3) nursing interventions and include rationales.
Place client in a side- lying position. (Switching positions can help take pressure off the uterus and help baby’s heart rate) (ATI:PN maternal and newborn nursing, chp: 11 page 92)
Notify the
provider. (Notifying the provider keeps the doctor up to date on what is
happening throughout the labor and birthing process) (ATI:PN maternal
and newborn nursing, chp 11, pg 92)
Assist with preparing for an
assisted vaginal birth or cesarean birth. (Want to get the baby out as
soon as possible to be sure of fetal wellbeing)