MEDizzy - A nurse’s client has had recurrent variable decelera- tions

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Care of Childbearing Families

A nurse’s client has had recurrent variable decelera- tions for the last 2 hours. For which intervention should the nurse plan?

ExplanationAmnioinfusion is sterile fluid instillation into the amniotic cavity through a catheter to supplement the amniotic fluid and prevent fur- ther cord compression. It is usually performed transcervically during the intrapartum period. Amnioinfusion has been found to be effective in the treatment of severe variable decelerations and decreases the need for cesarean births. Continuous electronic fetal monitoring is not a treatment for variable decelerations. Position changes may be effective, al- though the evidence supports the use of amnioinfusion as an intervention that decreases the need for cesarean section birth.