Question 1

A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effective in preventing pooling of blood in the lower extremities?

Accepted Answer

Move about every hour  Pooling of blood in the lower extremities results from the enlarged uterus exerting pressure on the pelvic veins. Moving about every hour will straighten out the pelvic veins and increase venous return.

Question 2

A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate?

Accepted Answer

Tachycardia and a feeling of nervousness  Terbutaline sulfate (Brethine), a beta-sympathomimetic drug, stimulates beta-adrenergic receptors in the uterine muscle to stop contractions. The beta-adrenergic agonist properties of the drug may cause tachycardia, increased cardiac output, restlessness, headache, and a feeling of \"nervousness\".

Question 3

When do the anterior and posterior fontanels close?

Accepted Answer

anterior fontanel closes at 12 to 18 months and the posterior by the end of the second month.

Question 4

When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes?

Accepted Answer

30 weeks gestation  at 30 weeks gestation is closest (of the options) to the time parents would be ready for such classes. Learning is facilitated by an interested pupil! The couple is most interested in childbirth toward the end of the pregnancy when they are psychologically ready for the termination of the pregnancy, and the birth of their child is an immediate concern.

Question 5

The nurse should encourage the laboring client to begin pushing when..

Accepted Answer

the cervix is completely dilated.  Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated at 10 cm (C). If pushing begins before the cervix is completely dilated the cervix can become edematous and may never completely dilate, necessitating an operative delivery. Many primigravidas begin active labor 100% effaced and then proceed to dilate.

Question 6

The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nurse take?

Accepted Answer

Have the client breathe into her cupped hands  Tingling fingers and dizziness are signs of hyperventilation (blowing off too much carbon dioxide). Hyperventilation is treated by retaining carbon dioxide. This can be facilitated by breathing into a paper bag or cupped hands.

Question 7

Twenty-four hours after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the periosteum and skull which does not cross the suture line is a newborn variation known as..

Accepted Answer

a cephalhematoma, caused by forceps trauma and may last up to 8 weeks.  Cephalhematoma, a slight abnormal variation of the newborn, usually arises within the first 24 hours after delivery. Trauma from delivery causes capillary bleeding between the periosteum and the skull.

Question 8

When does the head return to its normal shape?

Accepted Answer

7-10 days

Question 9

What did Nurse theorist Reva Rubin describe?

Accepted Answer

The initial postpartal period as the \"taking-in phase,\" which is characterized by maternal reliance on others to satisfy the needs for comfort, rest, nourishment, and closeness to families and the newborn.

Question 10

A couple, concerned because the woman has not been able to conceive, is referred to a healthcare provider for a fertility workup and a hysterosalpingography is scheduled. Which postprocedure complaint indicates that the fallopian tubes are patent?

Accepted Answer

Shoulder pain  If the tubes are patent (open), pain is referred to the shoulder from a subdiaphragmatic collection of peritoneal dye/gas.

Question 11

Which nursing intervention is most helpful in relieving postpartum uterine contractions or \"afterpains?\"

Accepted Answer

Lying prone with a pillow on the abdomen  Lying prone keeps the fundus contracted and is especially useful with multiparas, who commonly experience afterpains due to lack of uterine tone.

Question 12

Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?

Accepted Answer

Her arems and hands recieve the infant and she then traces the infant\'s profile with her fingertips.  Attachment/bonding theory indicates that most mothers will demonstrate behaviors described in during the first visit with the newborn, which may be at delivery or later.

Question 13

A client at 32-weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assessment finding indicates the therapeutic drug level has been achieved?

Accepted Answer

A decreased in respiratory rate from 24 to 16  Magnesium sulfate, a CNS depressant, helps prevent seizures. A decreased respiratory rate indicates that the drug is effective. (Respiratory rate below 12 indicates toxic effects.) Urinary output must be monitored when administering magnesium sulfate and should be at least 30 ml per hour. (The therapeutic level of magnesium sulfate for a PIH client is 4.8 to 9.6 mg/dl.)

Question 14

What is the therapeutic level of magnesium sulfate? What does it help prevent? What indicates toxic levels? 3

Accepted Answer

helps prevent seizures  The therapeutic level of magnesium sulfate for a PIH client is 4.8 to 9.6 mg/dl.  Respiratory rate below 12 indicates toxic effects. Urine output of less than 100 ml/4 hours Absent DTRs

Question 15

Twenty minutes after a continuous epidural anesthetic is administered, a laboring client\'s blood pressure drops from 120/80 to 90/60. What action should the nurse take?

Accepted Answer

Place woman in a lateral position  The nurse should immediately turn the woman to a lateral position, place a pillow or wedge under the right hip to deflect the uterus, increase the rate of the main line IV infusion, and administer oxygen by face mask at 10-12 L/min. If the blood pressure remains low, especially if it further decreases, the anesthesiologist/healthcare provider should be notified immediately.

Question 16

A client at 28-weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide?

Accepted Answer

Come to the clinic today for an ultrasound  Third trimester painless bleeding is characteristic of a placenta previa. Bright red bleeding may be intermittent, occur in gushes, or be continuous. Rarely is the first incidence life-threatening, nor cause for hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound.

Question 17

An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority?

Accepted Answer

Put the newborn to breast  Putting the newborn to breast will help contract the uterus and prevent a postpartum hemorrhage--this intervention has the highest priority.

Question 18

A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, \"Why must I stay in bed all the time?\" Which response is best for the nurse to provide this client?

Accepted Answer

Complete bedrest decreases oxygen needs and demands on the heart muscle tissue.  To help preserve cardiac reserves, the woman may need to restrict her activities and complete bedrest is often prescribed.

Question 19

The nurse is teaching care of the newborn to a group of prospective parents and describes the need for administering antibiotic ointment into the eyes of the newborn. Which infectious organism will this treatment prevent from harming the infant?

Accepted Answer

Gonorrhea  Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after birth to prevent ophthalmica neonatorum, an infection caused by gonorrhea, and inclusion conjunctivitis, an infection caused by chlamydia.The infant may be exposed to these bacteria when passing through the birth canal.

Question 20

The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?

Accepted Answer

Between the time the temperature falls and rises.  In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24 to 72 hours after ovulation, when the corpus luteum of the ruptured ovary produces progesterone. Therefore, intercourse between the time of the temperature fall and rise is the best time for conception. The human ovum can be fertilized 16 to 24 hours after ovulation.

Question 21

The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern?

Accepted Answer

Edema, basilar rales, and an irregular pulse   This indicates cardiac decompensation and requires immediate intervention.

Question 22

A woman with Type 2 diabetes mellitus becomes pregnant, and her oral hypoglycemic agents are discontinued. Which intervention is most important for the nurse to implement?

Accepted Answer

Describe diet changes that can improve the management of her diabetes  Diet modifications are effective in managing Type 2 diabetes during pregnancy, and describing the necessary diet changes is the most important intervention for the nurse to implement with this client.

Question 23

A client receiving epidural anesthesia begins to experience nausea and becomes pale and clammy. What intervention should the nurse implement first?

Accepted Answer

Raise the foot of the bed   These symptoms are suggestive of hypotension which is a side effect of epidural anesthesia. Raising the foot of the bed will increase venous return and provide blood to the vital areas. Increasing the IV fluid rate using a balanced non-dextrose solution and ensuring that the client is in a lateral position are also appropriate interventions, and then checking the patients blood pressure.

Question 24

What is the normal bilirubin at 1 day old?  How do we lower the levels if they are not severe?

Accepted Answer

The normal total bilirubin level is 6 to 12 mg/dl after Day 1 of life. This infant\'s bilirubin is beginning to climb and the infant should be monitored to prevent further complications. Breast milk provides calories and enhances GI motility, which will assist the bowel in eliminating bilirubin.

Question 25

A 30-year-old gravida 2, para 1 client is admitted to the hospital at 26-weeks\' gestation in preterm labor. She is given a dose of terbutaline sulfate (Brethine) 0.25 mg subcutaneous. Which assessment is the highest priority for the nurse to monitor during the administration of this drug?

Accepted Answer

Monitoring maternal and fetal heart rates is most important when terbutaline is being administered.   Terbutaline acts as a sympathomimetic agent that stimulates both beta 1 receptors (causing tachycardia, a side effect of the drug) and stimulation of beta 2 receptors (causing uterine relaxation, a desired effect of the drug).

Question 26

A full-term infant is admitted to the newborn nursery and, after careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which symptoms is this newborn likely to have exhibited?

Accepted Answer

Choking, coughing, and cyanosis.  the \"3 Cs\" of esophageal atresia caused by the overflow of secretions into the trachea.

Question 27

What does a child in respiratory distress look like?

Accepted Answer

Apneic spells and grunting with prematurity or sepsis

Question 28

What does a diaphragmatic hernia look like?

Accepted Answer

Scaphoid abdomen and anorexia

Question 29

A new mother is afraid to touch her baby\'s head for fear of hurting the \"large soft spot.\" Which explanation should the nurse give to this anxious client?

Accepted Answer

There\'s a strong, tough membrane there to protect the baby so you need not be afraid to wash or comb his/her hair.

Question 30

A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse\'s response is based on what knowledge?

Accepted Answer

It is difficult to consume 18 mg of additional iron by diet alone.  Consuming enough iron-containing foods to facilitate adequate fetal storage of iron and to meet the demands of pregnancy is difficult so iron supplements are often recommended.

Question 31

What is megaloblastic anemia caused by?

Accepted Answer

folic acide deficiency

Question 32

A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy. Which response is best?

Accepted Answer

A home pregnancy test can be used right after your first missed period.  Home urine tests are based on the chemical detection of human chorionic gonadotrophin, which begins to increase 6 to 8 days after conception, and is best detected at 2 weeks gestation or immediately after the first missed period.

Question 33

A 28-year-old client in active labor complains of cramps in her leg. What intervention should the nurse implement?

Accepted Answer

Extend the leg and dorsiflex the foot  Dorsiflexing the foot by pushing the sole of the foot forward or by standing (if the client is capable), and putting the heel of the foot on the floor is the best means of relieving leg cramps.

Question 34

A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse implement first?

Accepted Answer

Obtaining a urine analysis should be done first because preterm clients with uterine irritability and contractions are often suffering from a urinary tract infection, and this should be ruled out first.

Question 35

A client in active labor is admitted with preeclampsia. Which assessment finding is most significant in planning this client\'s care?

Accepted Answer

A 4+ reflex in a client with pregnancy-induced hypertension indicates hyperreflexia, which is an indication of an impending seizure.

Question 36

What is Epogen for?

Accepted Answer

Changes in apical heart rate from the 180s to the 140s.  Epogen, given to prevent or treat anemia, stimulates erythropoietin production, resulting in an increase in RBCs. Since the body has not had to compensate for anemia with an increased heart rate, changes in heart rate from high to normal is one indicator that Epogen is effective

Question 37

The healthcare provider prescribes terbutaline (Brethine) for a client in preterm labor. Before initiating this prescription, it is most important for the nurse to assess the client for which condition?

Accepted Answer

Gestational diabetes.  The nurse should evaluate the client for gestational diabetes because terbutaline (Brethine) increases blood glucose levels.

Question 38

A client with NO prenatal care arrives at the labor unit screaming, \"The baby is coming!\" The nurse performs a vaginal examination that reveals the cervix is 3 centimeters dilated and 75% effaced. What additional information is most important for the nurse to obtain?

Accepted Answer

Date of last normal menstrual period.  Evaluating the gestation of the pregnancy takes priority. If the fetus is preterm and the fetal heart pattern is reassuring, the healthcare provider may attempt to prolong the pregnancy and administer corticosteroids to mature the lungs of the fetus.

Question 39

The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?

Accepted Answer

Monitoring bleeding from IV sites  Monitoring bleeding from peripheral sites is the priority intervention. This client is presenting with signs of placental abruption. Disseminated intravascular coagulation (DIC) is a complication of placental abruptio, characterized by abnormal bleeding.

Question 40

Immediately after birth a newborn infant is suctioned, dried, and placed under a radiant warmer. The infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 beats/minute and respirations of 20 breaths/minute. What action should the nurse perform next?

Accepted Answer

Initiate positive pressure ventilation  The nurse should immediately begin positive pressure ventilation because this infant\'s vital signs are not within the normal range, and oxygen deprivation leads to cardiac depression in infants. (The normal newborn pulse is 100 to 160 beats/minute and respirations are 40 to 60 breaths/minute.)

Question 41

The nurse is preparing to give an enema to a laboring client. Which client requires the most caution when carrying out this procedure?

Accepted Answer

A 40-week primigravida who is at 6 cm cervical dilatation and the presenting part is not engaged.   When the presenting part is ballottable, it is floating out of the pelvis. In such a situation, the cord can descend before the fetus causing a prolapsed cord, which is an emergency situation.

Question 42

The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse explains to the client that her vaginal discharge will change from red to pink and then to white. The client asks, \"What if I start having red bleeding AFTER it changes?\" What should the nurse instruct the client to do?

Accepted Answer

Reduce activity level and notify the healthcare provider.  Lochia should progress in stages from rubra (red) to serosa (pinkish) to alba (whitish), and not return to red. The return to rubra usually indicates subinvolution or infection. If such a sign occurs, the mother should notify the clinic/healthcare provider and reduce her activity to conserve energy

Question 43

One hour after giving birth to an 8-pound infant, a client\'s lochia rubra has increased from small to large and her fundus is boggy despite massage. The client\'s pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM Ã 1. What action should the nurse take immediately?

Accepted Answer

Contact the healthcare provider and question the prescription  Methergine is contraindicated for clients with elevated blood pressure, so the nurse should contact the healthcare provider and question the prescription

Question 44

A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion?

Accepted Answer

3+ deep tendon reflexes and hyperclonus

Question 45

A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this client?

Accepted Answer

Do you have a history of rheumatic fever?   Clients with a history of rheumatic fever may develop mitral valve prolapse, which increases the risk for cardiac decompensation due to the increased blood volume that occurs during pregnancy, so obtaining information about this client\'s health history is a priority.

Question 46

After each feeding, a 3-day-old newborn is spitting up large amounts of EnfamilÂ® Newborn Formula, a nonfat cow\'s milk formula. The pediatric healthcare provider changes the neonate\'s formula to SimilacÂ® Soy IsomilÂ® Formula, a soy protein isolate based infant formula. What information should the nurse provide to the mother about the newly prescribed formula?

Accepted Answer

SimilacÂ® Soy IsomilÂ® Formula is a soy protein based formula that contains sucrose  The nurse should explain that the newborn\'s feeding intolerance may be related to the lactose found in cow\'s milk formula and is being replaced with the soy-based formula that contains sucrose, which is well-tolerated in infants with milk allergies and lactose intolerance.

Question 47

The nurse is performing a gestational age assessment on a full-term newborn during the first hour of transition using the Ballard (Dubowitz) scale. Based on this assessment, the nurse determines that the neonate has a maturity rating of 40-weeks. What findings should the nurse identify to determine if the neonate is small for gestational age (SGA)? (Select all that apply.)

Accepted Answer

Frontal occipital circumference of 12.5 inches (31.25 cm) Head to heel length of 17 inches (42.5 cm) Admission weight of 4 pounds, 15 ounces (2244 grams)  The normal full-term, appropriate for gestational age (AGA) newborn should fall between the measurement ranges of weight, 6-9 pounds (2700-4000 grams); length, 19-21 inches (48-53 cm); FOC, 13-14 inches (33-35 cm). This neonate\'s parameters plot below the 10% percentile, which indicate that the infant is SGA.

Question 48

The nurse is assessing a client who is having a non-stress test (NST) at 41-weeks gestation. The nurse determines that the client is not having contractions, the fetal heart rate (FHR) baseline is 144 bpm, and no FHR accelerations are occurring. What action should the nurse take?

Accepted Answer

The client should be asked if she has felt the fetus move.  An NST is used to determine fetal well-being, and is often implemented when postmaturity is suspected. A \"reactive\" NST occurs if the FHR accelerates 15 bpm for 15 seconds in response to the fetus\' own movement, and is \"nonreactive\" if no FHR acceleration occurs in response to fetal movement.

Question 49

A vaginally delivered infant of an HIV positive mother is admitted to the newborn nursery. What intervention should the nurse perform first?

Accepted Answer

To reduce direct contact with the human immuno-virus in blood and body fluids on the newborn\'s skin, a bath with an antimicrobial soap should be administered first.

Question 50

A client who is in the second trimester of pregnancy tells the nurse that she wants to use herbal therapy. Which response is best for the nurse to provide?

Accepted Answer

It is important that you want to take part in your care.   The emphasis of alternative and complementary therapies, such as herbal therapy, is that the client is viewed as a whole being, capable of decision-making and an integral part of the health care team, so recognizes the client\'s request.

Question 51

A primigravida client who is 5 cm dilated, 90% effaced, and at 0 station is requesting an epidural for pain relief. Which assessment finding is most important for the nurse to report to the healthcare provider?

Accepted Answer

A platelet count of 67,000/mm3.  Thrombocytopenia (low platelet count) should be reported to the healthcare provider because it places the client at risk for bleeding when an epidural is administred.

Question 52

A 24-hour-old newborn has a pink papular rash with vesicles superimposed on the thorax, back, and abdomen. What action should the nurse implement?

Accepted Answer

documented the findings in the infant\'s record  Erythema toxicum (or erythema neonatorum) is a newborn rash that is commonly referred to as \"flea bites,\" but is a normal finding that is documented in the infant\'s record.

Question 53

When explaining \"postpartum blues\" to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (Select all that apply.)

Accepted Answer

Mood swings and Tearfulness   \"Postpartum blues\" is a common emotional response related to the rapid decrease in placental hormones after delivery and include mood swings, tearfulness, feeling low, emotional, and fatigued.

Question 54

The nurse should explain to a 30-year-old gravid client that alpha fetoprotein testing is recommended for which purpose?

Accepted Answer

Assess for maternal pre-eclampsia  Alpha-fetoprotein (AFP) is a screening test used in pregnancy. Elevated AFP may indicate an increased rish of neural tube defects such as anencephaly and spinal bifida.

Question 55

The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which further assessment should the nurse perform?

Accepted Answer

Observe for an asymmetrical Moro (startle) relex  The most common neonatal birth trauma due to a vaginal delivery is fracture of the clavicle. Although an infant may be asymptomatic, a fractured clavicle should be suspected if an infant has limited use of the affected arm, malposition of the arm, an asymmetric Moro reflex, crepitus over the clavicle, focal swelling or tenderness, or cries when the arm is moved.

Question 56

A primigravida at 40-weeks gestation is receiving oxytocin (Pitocin) to augment labor. Which adverse effect should the nurse monitor for during the infusion of Pitocin?

Accepted Answer

Fetal tachycardia  Pitocin causes the uterine myofibril to contract, so unless the infusion is closely monitored, the client is at risk for hyperstimulation which can lead to tetanic contractions, uterine rupture, and fetal distress or demise.

Question 57

A multigravida client at 41-weeks gestation presents in the labor and delivery unit after a non-stress test indicated that the fetus is experiencing some difficulties in utero. Which diagnostic test should the nurse prepare the client for additional information about fetal status?

Accepted Answer

Biophysical profile (BPP)  BPP provides data regarding fetal risk surveillance by examining 5 areas: fetal breathing movements, fetal movements, amniotic fluid volume, and fetal tone and heart rate. The client\'s gestation has progressed past the estimated date of confinement, so the major concern is fetal well-being related to an aging placenta, not screening for fetal anomalies.

Question 58

While breastfeeding, a new mother strokes the top of her baby\'s head and asks the nurse about the baby\'s swollen scalp. The nurse responds that the swelling is caput succedaneum. Which additional information should the nurse provide this new mother?

Accepted Answer

The scalp edema will subside in a few days after birth  Caput succedaneum is edema of the fetal scalp that crosses over the suture lines and is caused by pressure on the fetal head against the cervix during labor; it subside in a few days after birth without treatment.

Question 59

A healthcare provider informs the charge nurse of a labor and delivery unit that a client is coming to the unit with suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate? (Select all that apply.)

Accepted Answer

The symptoms of abruptio placentae include dark red vaginal bleeding, increased uterine irritability, and a rigid abdomen.

Question 60

A client with gestational hypertension is in active labor and receiving an infusion of magnesium sulfate. Which drug should the nurse have available for signs of potential toxicity?

Accepted Answer

The antidote for magnesium sulfate is calcium gluconate, which should be readily available if the client manifest signs of toxicity.

Question 61

A 42-week gestational client is receiving an intravenous infusion of oxytocin (Pitocin) to augment early labor. The nurse should discontinue the oxytocin infusion for which pattern of contractions?

Accepted Answer

Transition labor with contractions every 2 minutes, lasting 90 seconds each.   Contraction pattern describes hyperstimulation and an inadequate resting time between contractions to allow for placental perfusion.

Question 62

The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What equipment should the nurse have available at the client\'s bedside?

Accepted Answer

A single sterile glove, an amniotic hook, and Doppler to check fetal heart tones are the necessary equipment for performing an amniotomy.

Question 63

A client at 32-weeks gestation is diagnosed with preeclampsia. Which assessment finding is most indicative of an impending convulsion?

Accepted Answer

Three plus deep tendon reflexes and hyperclonus are indicative of an impending convulsion and requires immediate attention.

Question 64

During labor, the nurse determines that a full-term client is demonstrating late decelerations. In which sequence should the nurse implement these nursing actions? (Arrange in order.)

Accepted Answer

Reposition the client Increase IV fluids Provide oxygen via face mask Call the healthcare provider   To stabilize the fetus, intrauterine resuscitation is the first priority, and to enhance fetal blood supply, the laboring client should be repositioned (1) to displace the gravid uterus and improve fetal perfusion. Secondly, to optimize oxygenation of the circulatory blood volume, oxygen via face mask (2) should be applied to the mother. Next, the IV fluids should be increased (3) to expand the maternal circulating blood volume. Then, the primary healthcare provider should be notified (4) for additional interventions to resolve the fetal stress.

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