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During the second stage of labor, pushing and maternal positioning both affect fetal status. When assisting a laboring woman, the nurse should:

A.Encourage the woman's cooperation in avoiding the supine position.B.Advise the woman to avoid the semi-Fowler position.C.Encourage the woman to hold her breath and tighten her abdominal muscles to produce a prolonged pushing effort.D.Instruct the woman to open her mouth and close her glottis, letting air escape after each push.

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