2024 PN NCLEX Questions Nursing Practice Question
A nurse notes the presence of variable decelerations on the fetal heart rate monitor strip and suspects cord compression. The nurse should immediately perform which action?
Correct Answer: B
Rationale: Variable decelerations in fetal heart rate often indicate umbilical cord compression, which can compromise fetal oxygenation. Elevating the mother's hips (Option B) can relieve pressure on the umbilical cord, improving blood flow and oxygen delivery to the fetus.
Option A, inserting a gloved finger to assess for cord compression, is inappropriate and does not address the immediate need to alleviate the compression. Option C, notifying the registered nurse, while important, does not provide immediate intervention for the fetus. Option D, performing a vaginal examination, may not be necessary and could further stress the fetus without addressing the underlying issue.