During the active phase of labor, which of the following is a common sign that indicates progress?

Potential Complication:

Variable Fetal Heart Rate Decelerations: Variable decelerations are typically associated with cord compression, which may occur during labor, especially with oligohydramnios (low amniotic fluid). The fetal heart rate drops to 100 bpm with contractions but recovers within 30 seconds, fitting the description of variable decelerations. Since amniotic fluid cushions the umbilical cord, a reduction in fluid can increase the likelihood of cord compression.

Actions to Take:

1. Turn client to left side: Repositioning the client to the left lateral position can relieve pressure on the umbilical cord, improve blood flow to the placenta, and reduce the occurrence of variable decelerations.
2. Initiate amnioinfusion: An amnioinfusion is a procedure where a sterile fluid is introduced into the uterus to increase the amount of amniotic fluid, reducing cord compression and improving fetal oxygenation. This can help alleviate variable decelerations caused by oligohydramnios.

Parameters to Monitor:

1. Fetal Heart Rate Baseline: Monitoring the fetal heart rate baseline is essential to assess if the decelerations are improving after interventions, ensuring the fetus is not in distress and maintaining an appropriate heart rate (120–160 bpm).
2. Uterine Contraction Frequency: Monitoring the frequency of contractions is important, especially if an amnioinfusion is performed, to ensure contractions are not becoming too frequent or too intense, which could further compromise fetal oxygenation and lead to distress.

A. Monitor the patient's urinary output. While monitoring urinary output is important, it is not the primary concern when administering oxytocin for labor induction.

B. Monitor for tachysystole. Tachysystole (defined as more than 5 contractions in 10 minutes) is a potential complication of oxytocin administration. It can lead to fetal distress, so it is crucial to monitor for this condition.

C. Monitor the patient's coping mechanisms for labor. Monitoring coping mechanisms is important, but it is not the primary responsibility when administering oxytocin.

D. Monitor the IV site. While the IV site should be monitored for complications such as infiltration, it is not the primary concern with oxytocin administration.