Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
A nurse is caring for a client who is in labor and has an epidural for pain relief. The client's blood pressure is 88/50 mm Hg and the fetal heart rate is 140/min with minimal variability and late decelerations.Which of the following actions should the nurse take?
Correct answer
D
Rationale
Hypotension and late decelerations suggest maternal and fetal compromise; notifying the provider ensures timely intervention.