During CPR on a pregnant woman, what is the correct method for displacing the gravid uterus?
No displacement of the gravid uterus is necessary during CPR on a pregnant woman.
Apply pressure on the abdomen above the umbilicus to displace the uterus.
Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava.
Apply pressure directly on the gravid uterus to maintain blood flow to the fetus.
Correct answer: C
The Correct Answer is C
A. No displacement of the gravid uterus is necessary during CPR on a pregnant woman. Displacement of the uterus is necessary in a pregnant woman (especially after 20 weeks gestation) to prevent supine hypotension syndrome.
B. Apply pressure on the abdomen above the umbilicus to displace the uterus. Applying pressure above the umbilicus is not an effective method of uterine displacement. The correct technique involves manual displacement to the left or tilting the woman to the left.
C. Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava. Tilting the uterus to the left helps relieve compression on the inferior vena cava, improving venous return and cardiac output. This is essential during CPR to optimize blood flow to the mother and fetus.
D. Apply pressure directly on the gravid uterus to maintain blood flow to the fetus. Applying direct pressure on the uterus could further compromise circulation rather than improving it.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Anomalies in fetal chromosomes: Amniocentesis can diagnose chromosomal disorders such as Down syndrome, trisomy 18, and trisomy 13.
B. Neural tube defects: Amniocentesis measures alpha-fetoprotein (AFP) levels, which can indicate neural tube defects like spina bifida or anencephaly.
C. Cephalopelvic disproportion: Cephalopelvic disproportion (CPD) refers to a mismatch between fetal head size and maternal pelvis, which is assessed via ultrasound or clinical examination, not amniocentesis.
D. Fetal gender: Amniocentesis can determine fetal gender by analyzing fetal DNA, which is helpful in diagnosing sex-linked genetic disorders (e.g., hemophilia, Duchenne muscular dystrophy).
E. Rh incompatibility: Amniocentesis can assess bilirubin levels in amniotic fluid to determine the severity of hemolytic disease in Rh-incompatible pregnancies.
Correct Answer is C
Explanation
A. Viability of the fetus: The client reports fetal movement, indicating viability. While fetal well-being is always a consideration, the priority here is determining the cause of the bleeding.
B. The biparietal diameter: The biparietal diameter (BPD) is used to assess fetal head size and estimate gestational age, which is not relevant to the client’s bleeding.
C. Location of the placenta: The priority in evaluating third-trimester bleeding is ruling out placenta previa (where the placenta covers the cervix) or placental abruption. Ultrasound helps determine if the placenta is improperly positioned.
D. Fetal lung maturity: Fetal lung maturity is assessed when preterm delivery is being considered, typically before 37 weeks, but it is not the primary concern in assessing vaginal bleeding.
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