Fetal Distress

It also refers to fetal compromise that results in a stressful and potentially
lethal condition.

Normally during labor the fetus is able to respond appropriately as

indicated by the following :

FHR ranging between 120 to 160 beats /minute .

Accelerations in FHR with movement or activity .

Early deceleration –indicative of fetal head compression during contraction

Mild variable deceleration –indicative of cord compression relieved with

maternal position changes .
 Causes -
Prematurity
Congenital malformation
ABO or Rh incompatibility
Maternal complications such as GDM , heart
disease ,gestational hypertension
Prolonged labor post maturity
Oxytocin infusion
Vaginal bleeding
Nursing interventions-
Monitor FHR, fetal activity ,fetal heart variability.

Immediate referral or notification to attending physician for any unusual findings .

Prepare for possible placement of internal monitor and fetal scalp pH sampling
.Fetal scalp blood reveals acidosis .

Administer oxygen via face mask as ordered by the physician .(typically 6to 8l/min)
Assist the client in left side lying position .

Expect to discontinue oxytocin infusion if in use .

Prepare the patient for delivery as indicated .