What immediate action should a nurse take if variable decelerations are noted on the fetal heart rate monitor due to suspected cord compression?

The most appropriate immediate action in the scenario of variable decelerations due to suspected cord compression is to position the mother so that her hips are elevated. Elevating the hips can help relieve pressure on the umbilical cord, potentially alleviating the cause of the decelerations. This position change increases uteroplacental perfusion and can facilitate better fetal oxygenation by minimizing cord compression.

Although notifying the nurse-midwife or healthcare provider is important and should be part of the overall care, it may not be the most immediate or direct action to address the issue at hand. Similarly, performing a vaginal examination or inserting a gloved finger to assess for cord compression is not the most effective response in this situation, as the priority is to manage the deceleration directly through maternal positioning.