A woman in labour becomes dizzy while lying flat on her back, and her blood pressure falls. Which nursing action is appropriate first?
Correct answer: A. Turn her to a lateral position and reassess her circulation
- A. Turn her to a lateral position and reassess her circulation
- B. Place her flat with both legs raised above her heart
- C. Ask her to begin pushing to improve venous return
- D. Give oral fluids while keeping her in the same position
Explanation
A lateral position relieves compression of the inferior vena cava by the pregnant uterus and improves venous return. Supine hypotension is a safety and circulation problem, so repositioning takes priority over oral fluids or pushing.
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About Normal Labour and Delivery
Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.
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