The nurse in the labor and delivery unit is caring for a 31-year-old female client.
0410:Gravida 3, para 2 at 38 weeks 4 days of gestation, in active labor. Cervix 7 cm dilated at 0400. Membranes intact. No oxytocin infusing. Fetal heart rate (FHR) baseline 140/min with moderate variability.
0418:Membranes rupture spontaneously with a large gush of clear fluid. FHR falls abruptly to 70/min and has stayed there for 2 minutes. On vaginal examination the nurse feels a pulsating loop of umbilical cord ahead of the fetal head. The nurse is alone in the room; the emergency call button is within reach.
The nurse has reviewed the Nurses' Notes from 0410 and 0418.
Drag words from the choices below to fill in each blank in the following sentence.
The nurse should first Word Choice and should prepare the client for Word Choice.
Word Choices
an amnioinfusion
an emergency cesarean birth
labor augmentation with oxytocin
lift the presenting part off the cord
push the cord back above the fetal head
go to the nurses' station to call for help