Fetal heart tones 160bpm
A moderate amount of straw-colored fluid
A small amount of greenish fluid
A small segment of the umbilical cord
"We have a name picked out for the baby."
"I need to push when I have a contraction."
"I can’t concentrate if anyone is touching me."
"When can I get my epidural?"
Reposition the monitor
Turn the client to her left side
Ask the client to ambulate
Prepare the client for delivery
A painless delivery
Progressive cervical dilation
Anticipate the need for a Caesarean section
Apply the fetal heart monitor
Place the client in Genu Pectoral position
Perform an ultrasound exam
The cervix is closed.
The membranes are still intact
The fetal heart tones are within normal limits
The contractions are intense enough for insertion of an internal monitor
Impaired gas exchange related to hyperventilation
Alteration in placental perfusion related to maternal position
Impaired physical mobility related to fetal-monitoring equipment
Potential fluid volume deficit related to decreased fluid intake