A laboring woman is lying in the supine position. The most appropriate nursing action is to
a. Ask her to turn to one side.
b. Elevate her feet and legs.
c. Take her blood pressure.
d. Determine if fetal tachycardia is present.
A
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A The woman's supine position may cause the heavy uterus to compress her
inferior vena cava, reducing blood return to her heart and reducing placental
blood flow. This problem is relieved by having her turn onto her side.
B Elevating her legs will not relieve the pressure from the inferior vena cava.
C This position may produce hypotension in the woman, but the action should be
to prevent this from happening, not to assess for the problem.
D If the woman is allowed to stay in the supine position and blood flow to the
placental is reduced significantly, fetal tachycardia may occur. The most
appropriate nursing action is to prevent this from occurring by turning the
woman to her side.
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