A client's fetal heart rate tracing has a consistent late deceleration pattern. What actions should the nurse take at this time? Select all that apply
1. Prepare for cesarean birth.
2. Increase intravenous fluids.
3. Monitor maternal blood pressure.
4. Position client on the left side.
5. Apply oxygen 7 to 10 L via face mask.
3, 4, 5
Explanation:
1. Preparing for cesarean birth would be an action for late decelerations with tachycardia or decreasing variability.
2. Increasing intravenous fluids would be an action for late decelerations with tachycardia or decreasing variability.
3. Nursing actions for a late deceleration pattern include monitoring maternal blood pressure.
4. Nursing actions for a late deceleration pattern include positioning the client on the left side.
5. Nursing actions for a late deceleration pattern include applying oxygen 7 to 10 L via face mask.
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