A nurse is assisting with a prenatal class and a learner asks the nurse to explain what happens during a prolapsed umbilical cord.
Which of the following statements should the nurse make?
An occult cord prolapse occurs when the umbilical cord is hidden within the vagina.
An occult prolapsed cord occurs when the umbilical cord is wrapped around the fetal neck.
A compound prolapsed cord occurs when the cord is felt through the cervix inside the intact amniotic sac.
An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part.
The Correct Answer is D
Choice A rationale
An occult cord prolapse occurs when the umbilical cord is hidden but not necessarily within the vagina. It is often compressed alongside the fetus, causing a risk for decreased oxygenation.
Choice B rationale
An occult prolapsed cord is not characterized by being wrapped around the fetal neck; that condition is known as a nuchal cord.
Choice C rationale
A compound prolapsed cord does not involve the cord being felt through the cervix inside an intact amniotic sac. Instead, it involves the cord alongside the fetal presenting part.
Choice D rationale
An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part, posing significant risk due to potential cord compression and interruption of blood flow to the fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Heparin therapy increases the risk of bleeding and bruising. Notifying the provider about any unusual bruising is crucial for monitoring and managing potential complications.
Choice B rationale
Taking aspirin while on heparin is not recommended because aspirin is an antiplatelet agent that can increase the risk of bleeding, compounding the effects of heparin.
Choice C rationale
Temporary diarrhea is not a common side effect of heparin. Heparin's primary side effects are related to bleeding and thrombocytopenia, not gastrointestinal issues.
Choice D rationale
Increased urination is not a recognized side effect of heparin. Common side effects involve bleeding rather than changes in urinary patterns.
Correct Answer is B
Explanation
Choice A rationale
While nipple pain can occur, it is not normal and often indicates incorrect latch or positioning. Proper education about breastfeeding techniques can help prevent and manage nipple pain, ensuring a more comfortable experience for the mother.
Choice B rationale
Routine care should be delayed until the first feeding is completed to ensure bonding and proper initiation of breastfeeding. Early skin-to-skin contact and uninterrupted first feeding are crucial for newborn adjustment and breastfeeding success.
Choice C rationale
Feeding based on crying can lead to delayed response to hunger cues. It is recommended to feed the baby when early hunger signs are observed, such as rooting, lip smacking, or hands to mouth, rather than waiting until they cry.
Choice D rationale
Newborns typically feed every 2-3 hours, not every hour. Feeding schedules should be flexible and based on the baby's hunger cues rather than a strict timetable. Overfeeding every hour can lead to discomfort and digestive issues in the newborn.
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