What factors would necessitate a change to internal fetal monitoring during labor?Desiree says, “I’m not sure I can cope with the pain much longer.” How would you respond, considering her birth plan, stage of labor, and assessment data?
2. Emily, a 26-year-old G3P2, has been in labor for 5 hours and is 7 cm, 90% effaced, and +2 station. She has external fetal monitoring in place, which reveals a baseline fetal heart rate of 120 bpm, minimal variability, and occasional variable decelerations. Suddenly, as a contraction is beginning to subside, the fetal heart rate drops to a low of 80 bpm and has a slow return to the baseline 1 minute after the contraction has ended. (Learning Objectives 3 and 4)
a. What is happening to Emily’s baby at this point in time? What does this mean?
b. What role do you, as the nurse, play regarding fetal assessment and what interventions do you need to implement/recommend at this point in time?
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