A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. How should the nurse interpret the findings 24 hr later?

Choice A rationale
Administering oxygen helps improve oxygenation to the fetus and is the priority intervention for late decelerations. Oxytocin is commonly used for induction and augmentation of labor. Its influence is indirect via increased uterine activity, mostly due to increased frequency of contractions or baseline pressure (hypertonus). Increase in duration or amplitude of contractions can also lead to FHR changes. The FHR changes associated with oxytocin infusion may be caused by compression of the cord with contractions or by the reduction in placental perfusion due to increased intrauterine basal pressure and frequent contractions cutting off the blood supply to the placenta. Therefore, administering oxygen can help improve the oxygen supply to the fetus.
Choice B rationale
Instructing the client to bear down and push with contractions is not the appropriate action when the fetus is experiencing persistent late decelerations. This action is more associated with the active phase of labor and not with managing fetal distress.
Choice C rationale
Amnioinfusion is a procedure where a saline solution is instilled into the uterus during labor if there is low amniotic fluid, or thick meconium is present. It is not typically used in response to late decelerations in the FHR.
Choice D rationale
Placing the client in a supine position is not the correct action. The supine position can exacerbate a condition known as supine hypotensive syndrome, where the gravid uterus compresses the inferior vena cava, reducing venous return to the heart and cardiac output. This can potentially worsen fetal distress.

Choice A rationale
While herbal teas can be a part of a healthy diet, there is no scientific evidence to suggest that drinking herbal tea twice daily can improve fertility. Some herbal teas may even contain substances that could potentially harm a developing fetus or interfere with fertility treatments. Therefore, it’s important for individuals trying to conceive to discuss any dietary supplements or herbal remedies with their healthcare provider.
Choice B rationale
Taking daily hot baths is not recommended as a fertility treatment. In fact, frequent hot baths or hot tub use can actually decrease fertility in men by affecting sperm production. For women, there is no evidence to suggest that hot baths can improve fertility.
Choice C rationale
Maintaining a healthy weight can improve fertility in both men and women. Being overweight or underweight can affect hormone production and make it more difficult to conceive.
Therefore, maintaining a healthy weight through a balanced diet and regular physical activity is one of the most effective non-pharmacological treatments for improving fertility.
Choice D rationale
Using a lubricant during intercourse can make sex more comfortable, but some lubricants can actually decrease fertility by affecting sperm motility. If a lubricant is needed, it’s important to choose a product that is labeled as "fertility-friendly"5.