During labor, late decelerations are noted. Arrange the following actions in the correct order (first to last).

• A. Reposition the client; Increase IV fluid; Provide oxygen via face mask; Call the healthcare provider
• B. Increase IV fluid; Reposition; Provide oxygen; Call the healthcare provider
• C. Provide oxygen via face mask; Reposition; Increase IV fluid; Call the healthcare provider
• D. Reposition the client; Call the healthcare provider; Increase IV fluid; Provide oxygen

Answer: (A)

Late decelerations reflect fetal hypoxia from reduced placental perfusion during contractions. The goal is to quickly improve maternal-fetal conditions before escalating care. Start by repositioning the mother to the left side to relieve aortocaval compression and enhance uteroplacental blood flow. Next, increase IV fluid intake to boost circulating volume and support placental perfusion if hypotension or dehydration is playing a role. Then provide oxygen via a face mask (typically a nonrebreather at 8–10 L/min) to raise maternal and fetal oxygenation. Finally, call the healthcare provider to determine further actions and potential delivery decisions if the decelerations persist. This sequence prioritizes stabilization of both mother and fetus before advancing to additional interventions.