ATI Comprehensive Predictor 2023 Exit Exam B | Nurselytic

Correct Answer: A

Rationale: The correct answer is A: Encourage the client to push with each contraction. In the second stage of labor, the cervix is fully dilated, and the client should actively push to help deliver the baby. Pushing with each contraction helps to move the baby down the birth canal and facilitates a quicker delivery. This action also helps to prevent prolonged labor and decreases the risk of maternal exhaustion.
Now, let's analyze why the other choices are incorrect:
B: Positioning the client supine with legs elevated is not recommended in the second stage of labor as it can decrease blood flow to the uterus and hinder the progress of labor.
C: Applying fundal pressure during contractions can be dangerous and is not a recommended practice as it can lead to uterine rupture or fetal distress.
D: Instructing the client to hold her breath while pushing can decrease oxygen supply to both the mother and the baby and is not beneficial during labor.

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