In assisting with the two factors that have an effect on fetal status (i.e., pushing and posi-tioning), nurses should:
a. Encourage the woman's cooperation in avoiding the supine position.
b. Advise the woman to avoid the semi-Fowler position.
c. Encourage the woman to hold her breath and tighten her abdominal muscles to produce a vaginal response.
d. Instruct the woman to open her mouth and close her glottis, letting air escape af-ter the push.
A
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A The woman should maintain a side-lying position.
B The semi-Fowler position is the recommended side-lying position with a lateral tilt to the uterus.
C This is the Valsalva maneuver, which should be avoided.
D Both the mouth and glottis should be open, letting air escape during the push.
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