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    Ati maternal newborn proctored exam
    Select All That Apply

    A nurse is caring for a client who is 42 weeks of gestation. Exhibits Based on the assessment findings, which of the following actions should the nurse plan to take? (Select all that apply.)

    Explanation & Rationale

    A. Place the client in a side-lying position Side-lying improves uteroplacental blood flow by reducing pressure on the vena cava, which can help correct Category III FHR patterns like late decelerations or bradycardia. B. Initiate bolus of primary IV fluids Increasing intravascular volume enhances placental perfusion and fetal oxygenation. A bolus is a common intrauterine resuscitation measure for abnormal FHR patterns. C. Increase the oxytocin infusion to 13 mu/min This is contraindicated. Oxytocin may contribute to uterine tachysystole, which worsens fetal distress. It should be discontinued or decreased during a Category III tracing. D. Apply oxygen at 10 L/min via venturi mask Although a non-rebreather mask is typically preferred in emergencies, oxygen administration via any method improves fetal oxygenation during non-reassuring FHR patterns. E. Perform sterile vaginal examination (SVE) Assessing cervical dilation and fetal station helps determine if labor is progressing or if the FHR abnormalities are due to cord prolapse or rapid descent.

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