30-year-old G2P0 at 39 weeks is admitted in labor with spontaneous rupture of membranes occurring 2 hours prior to admission and regular uterine contractions. On examination, her cervix is 4-cm dilated and completely effaced. The fetal head is at 0 station and the fetal heart tracing is reactive. Two hours later, on repeat examination, her cervix is 5-cm dilated and the fetal head is at +1 station. Early decelerations are noted on the fetal heart tracing as Nurse what is your next plan for this mother?
- Initiate Pitocin augmentation
- Perform a cesarean delivery
- No intervention; labor is progressing normally
- None of these
Explanation
Early decelerations are usually benign and caused by fetal head compression during contractions.
The labor progression (cervical dilation from 4→5 cm, fetal head +1 station) is normal, so no immediate intervention is needed.
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