During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. what is the priority nursing intervention for the newborn?

Green stained amniotic fluid means that the fetus has passed first stool before birth and it is an indicator of fetal compromise (fetal distress). The nurse should carefully document the presence of meconium-stained fluid at the time of rapture of the membrane. In addition the nurse should also note the occurrence of variable decelerations and immediately notify the physician regardless of whether the meconium is present.

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