A labouring woman receiving oxytocin develops recurrent late fetal heart rate decelerations. Her airway and blood pressure are stable. What should the nurse do first?
Correct answer: A. Turn her to a lateral position
- A. Turn her to a lateral position
- B. Increase the oxytocin infusion rate
- C. Ask her to lie flat on her back
- D. Encourage prolonged pushing with each contraction
Explanation
A lateral position improves uteroplacental blood flow and is an immediate response to suspected fetal compromise. Oxytocin should not be increased when late decelerations are present, because excessive uterine activity can worsen fetal oxygenation.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
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50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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