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tmoe tmoe
wrote...
Posts: 978
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6 years ago
A woman is in labor. The fetus is in vertex position. When the client's membranes rupture, the nurse sees that the amniotic fluid is meconium-stained. The nurse should immediately:
 
  1. Change the client's position in bed.
  2. Notify the physician that birth is imminent.
  3. Administer oxygen at 2 liters per minute.
  4. Begin continuous fetal heart rate monitoring.
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wrote...
6 years ago
4
Rationale:
1. Changing the client's position is not indicated.
2. Meconium-stained amniotic fluid does not indicate that birth is imminent.
3. Oxygen administration is not indicated.
4. Meconium-stained amniotic fluid is an abnormal fetal finding, and is an indication for continuous fetal monitoring.
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