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[Expert Solution]: A nurse is caring for a client who is in labor

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A nurse is caring for a client who is in labor. Exhibit 1 Exhibit 2 Exhibit 3 Exhibit 4 Nurses’ Notes 0730: Client resting in bed with external fetal monitor in place. Reports discomfort from contractions as a 4 on a scale of 0 to 10. Client doing slow paced breathing during contractions. Client reports blurred vision and a frontal headache rated at a 6 on a scale of 0 to 10. Deep tendon reflexes 3+. Negative for clonus. Contractions: every 6 to 8 min, lasting 45 to 60 seconds, palpate mild/moderate. Uterus soft between contractions. Fetal heart rate: Baseline 135/min, moderate variability, accelerations present, no decelerations noted. Oxytocin infusion rate at 4 milliunits/minute. Magnesium sulfate at 2 g/hr with Lactated Ringer’s at 50 mL/hr infusing via peripheral IV. 1130: Client sleepy. Reports pain of a 6 on a scale of 0 to 10 due to uterine contractions. Denies headache or visual disturbances. Deep tendon reflexes are absent. Contractions: occurring every 4 to 5 min, lasting 60 to 75 seconds and palpate moderate. Uterus soft between contractions. Fetal heart rate: Baseline 125/min, minimal variability, no accelerations, no decelerations. Oxytocin infusion rate at 12 milliunits/minute. A nurse reviews the most recent assessment findings. What actions should the nurse take? Select all that apply. Apply oxygen at 10 L by nonrebreather mask. Collect a specimen for a fetal fibronectin test. Request a prescription for an amnioinfusion. Infuse a 500 mL bolus of lactated Ringer’s. Administer calcium gluconate. Discontinue the magnesium infusion. Decrease the rate of the oxytocin infusion.

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