CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A patient in labor, who is at term, is admitted to the birthing room. Her membranes rupture spontaneously. The physician should be notified as soon as possible if the nurse notes:

Greenish fluid
Clear fluid with specks of mucus
Shortened intervals between contractions
Fetal heart rate decreases before contractions

Explanation

Answer - A - The physician should be notified as soon as possible if the nurse notes greenish fluid. This indicates the presence of meconium and is considered a sign that the fetus is compromised.

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