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mayslee97 mayslee97
wrote...
Posts: 1007
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6 years ago
A client in labor with the fetus in the vertex position has a spontaneous rupture of membranes. The nurse sees that the amniotic fluid is meconium-stained and immediately:
 
  1. Changes the client's position in bed.
   2. Notifies the physician that birth is imminent.
   3. Administers oxygen at 2 liters per minute.
   4. Begins continuous fetal heart rate monitoring.
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wrote...
6 years ago
4. Begins continuous fetal heart rate monitoring.

Rationale:
Meconium-stained amniotic fluid is an abnormal fetal finding and is an indication for continuous fetal monitoring. Changing the client's position is not indicated. Meconium-stained amniotic fluid does not indicate that birth is imminent. Oxygen administration is not indicated.
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