A nurse is preparing to perform a vacuum extraction for a client who has an obstructed labor due to a face presentation.
Which of the following actions should the nurse take? (Select all that apply.).
Obtain informed consent from the client
Administer prophylactic antibiotics to the client
Apply traction to the vacuum cup during contractions
Release the vacuum cup after every three pulls
Monitor the fetal heart rate continuously.
Correct Answer : A,E
The nurse should obtain informed consent from the client before performing a vacuum extraction, as it is an operative vaginal delivery that carries some risks for the mother and the baby. The nurse should also monitor the fetal heart rate continuously during the procedure, as vacuum extraction can cause fetal distress or scalp injuries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This outcome indicates that the nursing care was effective in preventing complications such as hemorrhage and sepsis after a ruptured uterus and an emergency hysterectomy.
Correct Answer is C
Explanation
A ruptured uterus can be prevented by avoiding induction or augmentation of labor.This is because induction or augmentation of labor can increase the pressure and stress on the uterine wall, especially if there is a previous C-section scar, and cause it to tear open.
The normal range for uterine rupture is less than 1 percent of pregnant women.It affects about 1 in 300 deliveries for women who have had one C-section delivery, and up to 9 in 300 deliveries for women who have had more than one C-section delivery.
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