If a patient exhibits low baseline variability in fetal heart rate, what should be the immediate response?

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When a patient exhibits low baseline variability in fetal heart rate, the immediate response involves implementing the LION protocol actions. The LION protocol stands for Left side positioning, Increase IV fluids, Oxygen administration, and Notification of the healthcare provider.

These actions aim to improve fetal oxygenation and enhance uteroplacental perfusion. Left side positioning can shift the weight of the uterus off the major blood vessels, improving blood flow. Increasing IV fluids helps to expand intravascular volume, potentially correcting any issues related to dehydration or hypotension. Administering oxygen can help enhance the amount of oxygen available to the fetus, which can be crucial when there are signs of fetal distress. Notifying the healthcare provider is essential to ensure further evaluation and intervention, such as continuous monitoring or additional medical treatment.

This proactive approach is vital in addressing fetal well-being and ensuring the best possible outcomes for both the mother and the baby. The other options may not provide the immediate necessary actions to address the low baseline variability effectively.

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