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 Genupectoral 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
The baby is asleep.
The umbilical cord is compressed.
There is a vagal response.
There is uteroplacental insufficiency.
Notify her doctor
Start an IV
Reposition the client
Readjust the monitor
A fetal heart rate of 170–180 bpm
A baseline variability of 25–35 bpm
Ominous periodic changes
Acceleration of FHR with fetal movements