After noting meconium-stained amniotic fluid, fetal heart rate decelerations, and a fetal blood pH of 7.20, the physician diagnoses a severely depressed fetus. The appropriate nursing action at this time would be to:
1. Increase the mother's oxygen rate.
2. Turn the mother to the left lateral position.
3. Prepare the mother for a forceps or cesarean birth.
4. Increase the intravenous infusion rate.
3
Rationale:
1. Use of oxygen is not a nursing action that would change the status of the severely depressed fetus.
2. Position change to the left side is not a nursing action that would change the status of the severely depressed fetus.
3. Meconium-stained fluid, heart rate decelerations, and a pH of 7.20 are all indications that delivery must be done without delay.
4. Increasing the IV rate is not a nursing action that would change the status of the severely depressed fetus.
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