During labor, the patient at 4 cm suddenly becomes dyspneic, cyanotic, and hypotensive. The nurse must prepare immediately for: (Select all that apply):
1. CPR.
2. Cesarean delivery.
3. Immediate vaginal delivery.
4. McRobert's maneuver.
1, 2
Rationale:
1. Dyspnea, cyanosis, and hypotension are symptoms of an amniotic fluid embolus, which necessitates immediate cesarean delivery and preparation for CPR, if indicated.
2. Dyspnea, cyanosis, and hypotension are symptoms of an amniotic fluid embolus, which necessitates immediate cesarean delivery and preparation for CPR, if indicated.
3. The patient is only 4 cm, so an immediate vaginal delivery is not going to occur.
4. McRobert's maneuver is used with shoulder dystocia.
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