Final Answer:
Positioning the client on the left side decreases the weight of the uterus on the vena cava and increases oxygen flow to the placenta. Increasing the infusion of LR is called fluid resuscitation and decreases the viscosity of the blood. The end effect is increasing oxygenation to the fetus. O2 Stop infusion of oxytocin. d) Positioning the client on the left side, providing oxygen, and stopping oxytocin infusion.
Step-by-step explanation:
The rationale behind this choice is rooted in understanding the physiological responses and interventions during labor. Positioning the client on the left side is recommended because it alleviates pressure on the vena cava by reducing the weight of the uterus, optimizing blood flow and oxygenation to the placenta. Providing oxygen is crucial for enhancing maternal oxygenation and subsequently improving oxygen delivery to the fetus. Additionally, stopping the infusion of oxytocin is advised if there are signs of fetal distress, as oxytocin can contribute to uterine hyperstimulation, compromising fetal oxygen supply.
The alternative options (a, b, and c) are not optimal. Option a suggests administering oxygen and increasing oxytocin infusion simultaneously, which can exacerbate uterine hyperstimulation. Option b, positioning the client on the right side and stopping LR infusion, is not recommended as the left side is preferred to relieve vena cava compression. Option c, administering pain medication and continuing oxytocin infusion, does not address the need to alleviate pressure on the vena cava or enhance oxygenation to the fetus.
In summary, option d encompasses the appropriate interventions by addressing the positioning, oxygenation, and discontinuation of oxytocin infusion to optimize maternal and fetal well-being during labor.