[Expert Solution]: A G1PO patient at 38 weeks with an SVE of…

A G1PO patient at 38 weeks with an SVE of 7/90/-1 is laboring without augmentation and with an epidural. You confirm spontaneous rupture of membranes. Shortly thereafter, the fetal heart tracing shows a baseline of 145 bpm with moderate variability and increasingly frequent variable decelerations. You place them in lateral position and provide a 500 mL fluid bolus to no effect. What is your BEST next corrective measure? Maternal oxygen administration Normal saline amnioinfusion 0.25 mg terbutaline administration 500 mL Lactated Ringer’s bolus