Nursing interventions:
Independent:

Place client on left lateral position
- Takes off pressure from presenting part of umbilical cord and improves
maternal blood flow

Increase plain IV infusion drip
- Increases circulating fluid volume and placental perfusion

Assess FHR changes during contraction, note decelerations and accelerations.
- Detect severity of hypoxia and possible cause

Monitor uterine activity.
- Development of Hypertonicity can compromise uteroplacental circulation
and fetal oxygenation

Talk to client/couple as care is being given, and provide information about a
situation, as appropriate.
- Provides psychological support and assurance to reduce anxiety related to
increased monitoring.

Prepare for delivery if repetitive decelerations over a 30-min period is noted
- To prevent fetal injury or death from hypoxia
Dependent:

Administer oxygen as indicated
- Increases available oxygen for placental transfer.

Discontinue oxytocin if administered
- Strong contractions caused by oxytocin may inhibit or reduce uterine
relaxation and lower fetal oxygen levels.

Report to physician any abnormalities
- For further medical intervention