Answer
1 . Reposition patient to increase uteroplacental perfusion or alleviate cord compression
2 . Check maternal vitals
3 . Correct maternal hypovolemia, if present, by increasing IV fluids
4 . Stop oxytocin if applicable
5 . Administer oxygen at 8 to 10 L/min
6 . Rule out fever, dehydration, drug effect, prematurity
7 . Consider initiation of electronic fetal monitoring to clarify and document components of FHR
8 . If external monitor already in place, consider applying an internal fetal scalp electrode
9 . Consider fetal scalp sampling if appropriate
10. If abnormal findings persist despite corrective measures and other tests are not available (like fetal scalp pH) or desirable, the delivery should be considered