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    ATI NUR 209 Maternal Newborn Proctored Exam
    Select All That Apply

    The nurse will implement the following interventions based on the fetal heart rate.(Select All that Apply.)

    Explanation & Rationale

    Choice A rationaleAssisting the patient onto her left side can improve uteroplacental perfusion by relieving pressure on the vena cava, potentially improving fetal oxygenation and addressing fetal heart rate decelerations. This position maximizes blood flow to the uterus and placenta.Choice B rationaleA vaginal examination is crucial to assess for umbilical cord prolapse, especially in the presence of fetal heart rate decelerations or bradycardia. Prolapse of the cord can severely compromise fetal oxygen supply, necessitating immediate intervention.Choice C rationaleDiscontinuing the oxytocin infusion is essential if fetal heart rate abnormalities occur, as oxytocin stimulates uterine contractions, which can further compromise fetal oxygenation if the fetus is already stressed. Reducing or stopping contractions can alleviate fetal distress.Choice D rationaleAdministering oxygen at 10 L/min via nonrebreather face mask increases the maternal oxygen supply, which in turn can increase the oxygen available to the fetus across the placenta. This is a standard intervention for fetal distress.Choice E rationaleNotifying the health care provider is a critical step to communicate the fetal heart rate abnormalities and the interventions implemented. The provider can then assess the situation, determine the underlying cause, and order further management.Choice F rationaleStopping the magnesium sulfate is indicated primarily for signs of magnesium toxicity in the mother, such as respiratory depression, loss of deep tendon reflexes, or decreased urine output. While magnesium sulfate can affect the fetus, it is not a first-line intervention for fetal heart rate abnormalities unless related to preterm labor management.

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