A client in labor with the fetus in the vertex position has a spontaneous rupture of membranes. The nurse sees that the amniotic fluid is meconium-stained and immediately:
1. Changes the client's position in bed.
2. Notifies the physician that birth is imminent.
3. Administers oxygen at 2 liters per minute.
4. Begins continuous fetal heart rate monitoring.
4. Begins continuous fetal heart rate monitoring.
Rationale:
Meconium-stained amniotic fluid is an abnormal fetal finding and is an indication for continuous fetal monitoring. Changing the client's position is not indicated. Meconium-stained amniotic fluid does not indicate that birth is imminent. Oxygen administration is not indicated.
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