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The nurse is providing care to the client during the second stage of labor.Which nursing action is appropriate?


A) Assessing maternal temperature every 2-4 hours after amniotic membranes have ruptured
B) Encouraging the client to void because a full bladder can interfere with fetal descent
C) Assessing fetal heart rate every 15 minutes in low risk clients
D) Administering antibiotics for a positive group beta strep

E) C) and D)
F) A) and D)

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