A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority?
Select one:
Preparing the woman for vaginal birth
Covering the cord in sterile gauze soaked in saline
c Placing the patient on knee-chest position
Preparing the woman for a cesarean birth
Preparing the woman for a cesarean birth
The Correct Answer is C
a. This is not the correct intervention for a prolapsed umbilical cord.
b. This is not the correct intervention for a prolapsed umbilical cord.
c. This is the correct intervention for a prolapsed umbilical cord as it helps relieve pressure on the cord and improve fetal oxygenation.
d. This may be necessary if other interventions are not successful, but it is not the initial priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect renal function.
b. Assessing cervix dilation is not related to magnesium sulfate toxicity.
c. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect neuromuscular function.
d. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect respiratory function.
Correct Answer is D
Explanation
a. This is not the correct action for this situation.
b. This is not the correct action for this situation.
c. This is not the correct action for this situation.
d. The patient is experiencing uterine tachysystole, which is defined as more than five contractions in 10 minutes, lasting longer than 90 seconds, or with less than 30 seconds of interval between contractions. This can cause fetal hypoxia and distress, as evidenced by late decelerations in the fetal heart rate tracing. The nurse should stop the oxytocin, increase the IV fluid rate, position the patient on her left side, administer oxygen, and notify the provider.
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