A nurse is caring for a patient who is in the transition pha…
A nurse is caring for a patient who is in the transition phase of labor, 8 cm dilated, and is experiencing strong contractions every 1.5 minutes. The patient is visibly anxious and begins to tremble. She just received an epidural 10 minutes ago. Upon assessment, the nurse notes the following: the fetal heart rate is 130 bpm with moderate variability, and the patient’s blood pressure is 90/60 mmHg. Identify cues: Which cues from the above scenario should prompt the nurse to take immediate action?