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Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy...

Renee is a 22-year-old G2P0 at 42 weeks of gestation in active spontaneous labor. Her pregnancy has been complicated by mild hypertension, but no medications were needed. She is 4 cm/100/0 station, vertex position. Her membranes have just ruptured and there is a thick meconium staining. She is comfortable and is using epidural anesthesia.

1. What risk factors are present that may affect the way this fetus tolerates labor? Explain your answers

Renee is now completely dilated and +1 station. She has been instructed to push with every contraction . The fetal heart rate is now 164 bpm. There is absent variability and decelerations to 120 are occurring with maternal pushing , which do not resolve until 30 seconds after the contraction. The contractions are every 1 1/2 minutes.

2. What should the nurse do in this situation?

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