ATI Pediatrics Final Exam | Nurselytic

Questions 68

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ATI Pediatrics Final Exam Questions

Extract:

A client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations


Question 1 of 5

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: The correct answer is A: Turn the client onto her side. This action helps to alleviate pressure on the vena cava, improving blood flow to the placenta and reducing the risk of hypoxia for the fetus. Late decelerations indicate uteroplacental insufficiency, and repositioning the client can help improve fetal oxygenation. Option B is incorrect since increasing IV fluids won't directly address the late decelerations. Option C is not the priority as assessing the uterus can be done after addressing the immediate issue of late decelerations. Option D is incorrect as administering oxygen would be appropriate after repositioning the client. Option E is a duplicate answer.

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