The Nurse Is Monitoring a Client in Labor and Notes

Multiple Choice

The nurse is monitoring a client in labor and notes this fetal heart rate pattern on the electronic fetal monitoring strip (see figure) . Which is the most appropriate nursing action?

A) Decrease the rate of the IV fluids.
B) Document the fetal heart rate pattern.
C) Explain to the client that the pattern is reassuring.
D) Perform a vaginal exam to detect a prolapsed cord.