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    ATI Capstone Maternal Newborn Proctored Exam

    A nurse is caring for a client who is receiving oxytocin to augment labor.The nurse notes recurrent variable decelerations of the FHR.Which of the following actions should the nurse take first?

    Explanation & Rationale

    Choice A rationaleAmnioinfusion addresses variable decelerations by relieving cord compression; however, discontinuing oxytocin to prevent further decelerations precedes procedural interventions for labor augmentation.Choice B rationaleVaginal/speculum exams are not the priority during recurrent variable decelerations as they delay immediate measures addressing cord compression and fetal oxygenation concerns.Choice C rationaleDiscontinuing oxytocin reduces uterine contractions, alleviating cord compression and improving fetal oxygenation, which is the first step in managing recurrent variable decelerations of fetal heart rate.Choice D rationaleInstructions about potential birth preparation are important but not immediate for addressing variable decelerations, as they do not directly resolve underlying cord compression concerns. .

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