What is the priority nursing action when a client is in active labor and the fetal heart rate baseline is low?

Identifying possible causes of fetal bradycardia is essential as it allows the nurse to understand the underlying issues contributing to the low fetal heart rate baseline. This proactive approach helps in assessing the situation more comprehensively, enabling timely interventions to ensure the safety and well-being of both the mother and the fetus.

When fetal bradycardia is detected, various factors could be influencing the fetal heart rate, including maternal position, uteroplacental insufficiency, umbilical cord compression, or medications the mother may have received. By identifying these potential causes, the nurse can effectively communicate findings and collaborate with the healthcare provider on the best course of action tailored to the individual client’s needs.

Taking immediate steps to recognize and address the underlying issue is a vital part of nursing practice, ensuring that any interventions undertaken, such as administering oxygen or changing maternal positions, are informed and appropriate. This helps prevent complications and enhances the conditions necessary for a safe labor and delivery experience.