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- Why are subcostal views extremely important in the assessment of congenital heart disease?A client at 30 weeks gestation is admitted to the maternity unit with vaginal bleeding. What should be the RN’s initial nursing response? Question 31 options: a) Count and weigh peripads b) Start an intravenous infusion drip c) Assess blood pressure and pulse d) Observe for pallor, clammy skin, and perspirationWhat cardiovascular changes occur at birth?