A client is receiving an oxytocin infusion for induction of labor. When the client begins active labor, the fetal heart rate slows at the onset of several contractions with subsequent return to baseline before each contraction ends. What action should the nurse implement?

• A. Insert an internal monitor device.
• B. Change the woman's position.
• C. Discontinue the oxytocin infusion.
• D. Document the finding in the client record.

Answer: (D)

This scenario tests recognizing early decelerations caused by fetal head compression during contractions. When the fetal heart rate slows at the onset of a contraction and returns to baseline before the contraction ends, it’s typically an early deceleration pattern. This pattern is usually benign and reflects the fetus responding to labor as the head descends, not distress from hypoxia or uteroplacental insufficiency.

Because the tracing is reassuring and returns to baseline, the appropriate action is to continue monitoring and document the finding. There’s no need to change the position, discontinue the oxytocin, or insert an internal monitor unless the tracing begins to show nonreassuring patterns (such as late decelerations, variable decelerations with concerning features, or persistent tachysystole). Documenting the finding ensures the ongoing record reflects a normal, expected pattern during active labor.