What would you do?

Jesus. Run to the OR? That's disgusting.

All jokes aside--reposition, bolus--check her temp, check for a cord, make sure my OR was available and have a doc in the room ASAP, as well as my NICU aware and ready.

That is one seriously disgusting strip. I've never worked anywhere that would have sat on that kind of tracing for even ten minutes.

This kid needs a birthday. Outcome??

Is the patient pushing at this point? That is what I am thinking but not a lot of info to go on. If she is pushing, first stop pushing, see how the kid recovers and notify the MD. If the MD was in the room and close to delivery would definately consider pushing every other contraction and give the kid a break. I have had strips that have looked like this during pushing right before delivery and they always belong to a kid with a tight nucal cord. It just depends on the big picture and the MD.

If this was a patient who was laboring, I would reposition, ve, turn off pit, fluids, O2 all while someone is calling the MD.

What everybody else said.

I'd probably cry when I got home after that too.

**** my pants, pray. No seriously, slap on some 02, turn off the Pit, call the MD stat, fluid bolus, reposition, and prep for the OR.

**** my pants, pray. No seriously, slap on some 02, turn off the Pit, call the MD stat, fluid bolus, reposition, and prep for the OR.

Haha me too, the first part.

Haha me too, the first part.

That really is a gruesome strip.

What was the outcome??

Outcome? Wasn't my patient, this strip was taken from a course online on health stream.

I can't believe anyone sat on that strip for at least 30 minutes. That is seriously horrifying.

I can't believe anyone sat on that strip for at least 30 minutes. That is seriously horrifying.

My thoughts exactly. The baseline alone with that lack of variability would have had us in the OR or pulling at like minute 10.

O2, fluid bolus, Vag check for prolapsed cord, call MD, notify OR