In the labor room, meconium-stained amniotic fluid is noted related to intrauterine growth restriction with accompanying abnormal fetal heart rate patterns. The most appropriate nursing action to minimize meconium aspiration syndrome is to
a. inform the nursery that the high-risk baby may be arriving soon
b. prepare for cesarean delivery
c. provide oxygen via facial mask
d. request that a pediatrician or respiratory therapist be present for the delivery
D
The question indicates the risk of fetal distress that could result in neonatal respiratory distress; therefore, requesting that a pediatrician or respiratory therapist be present for the delivery is the appropriate nursing action. While informing the nursery that the high-risk baby may be arriving soon and preparing for cesarean delivery are appropriate, they are not the priority nursing action. Providing oxygen via facial mask may help the oxygenation for the fetus by providing oxygen via face mask to the laboring mother, but it is not the appropriate nursing action.
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