The nurse is concerned that a patient in the second stage of labor will experience a drop in blood pressure. What should the nurse do to prevent this from occurring?
A) Position the patient supine.
B) Encourage oral fluid intake.
C) Administer intravenous fluids.
D) Position the patient side-lying.
D
Feedback:
If a patient lies in a supine position and pushes during the second stage of labor, pressure of the uterus on the vena cava causes the blood pressure to drop, leading to hypotension. A side-lying position during the second stage of labor can help avoid such a problem. Fluids would be indicated if the patient is having epidural anesthesia.
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