MEDizzy - A client’s membranes rupture while her labor is being

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Nursing Care for Uncomplicated Pregnancy Labor & Post-partum

A client’s membranes rupture while her labor is being augmented with an oxytocin (Pitocin) infusion. A nurse observes variable decelerations in the fetal heart rate on the fetal monitor strip. What action should the nurse take next?

ExplanationA. Variable decelerations usually are seen as a result of cord compression; a change of position will relieve the pressure on the cord. B. Variable decelerations are not related to the mother’s blood pressure. C. Variable decelerations are not oxytocin related. D. This is premature; other nursing measures should be tried first.