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

Answer and Explanation

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.

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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.

A. A 27-year-old G2P1 woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago but feels normal fetal movements and not contractions are noted. B. A 22-year-old. 9cm 100% +4. Who is requesting to go to the bathroom to have a bowel movement C. A 32-year-old G4P3 woman at 27 weeks' gestation who noted scan vaginal bleeding today, after of having a sexual intercourse in the morning. D. A 17-year-old. 2cm 80% -2. Who is crying and shows mild anxiety

Correct Answer is B

Explanation

a. A woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago with normal fetal movements is not a priority assessment as long as there are no signs of fetal distress.
b. A woman who is 9 cm dilated and fully effaced and is requesting to go to the bathroom to have a bowel movement is in the second stage of labor, which means that the cervix is fully dilated and the fetus is descending in the birth canal. The urge to have a bowel movement is a sign that the fetal head is pressing on the rectum and that delivery is imminent. This patient needs immediate attention and preparation for delivery.
c. A woman at 27 weeks' gestation who noted scant vaginal bleeding today after having sexual intercourse in the morning may be experiencing placenta previa or placental abruption but this is not a priority compared to the woman in option b who is yet to deliver.
d. A woman who is 2 cm dilated and 80% effaced and is crying and shows mild anxiety is not a priority assessment as long as there are no signs of fetal distress.

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A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority? Select one:

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority?
Select one: