Final answer:
The recommended nursing interventions to maintain cardiac perfusion in a laboring client with cardiac issues include monitoring fluid balance, administering beta-blockers, and encouraging the Valsalva maneuver during contractions.
Step-by-step explanation:
The recommended nursing interventions to maintain cardiac perfusion in a laboring client with cardiac issues include:
- Monitoring fluid balance: Ensuring that the client is adequately hydrated and maintaining a proper balance of fluid can help optimize cardiac perfusion.
- Administering beta-blockers: Beta-blockers can help reduce heart rate and blood pressure, relieving stress on the heart and improving cardiac perfusion.
- Encouraging Valsalva maneuver during contractions: The Valsalva maneuver involves holding one's breath and bearing down, which can increase blood flow to the heart and improve cardiac perfusion.