Difficulty: Medium
Average Score: 68%
Simulated
Passage / Scenario
Client in labor, contractions 1 min duration, 3 min frequency, fetal heart rate 130/min, maternal heart rate 128/min, blood pressure 92/54 mm HgA nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which of the following is the priority action for the nurse to take?
Correct answer
Positioning with one hip elevated addresses low blood pressure, likely due to aortocaval compression, improving uteroplacental perfusion and maternal stability.