Maternal cardiac output can be increased by:
1. position change.
2. oxytocin administration.
3. regional anesthesia.
4. intravenous analgesic.
1
1. Correct. Maternal supine hypotension syndrome is caused by the weight and pressure of the gravid uterus on the ascending vena cava when the woman is in a supine position. This decreases venous return to the woman's heart and cardiac output and subsequently reduces her blood pres-sure. The nurse can encourage the woman to change positions and avoid the supine position.
2, 3, 4. Incorrect. These interventions may potentially decrease maternal cardiac output.
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