The nurse is caring for a laboring client. The nurse observes that there are variable decelerations. What is the nurse's priority action?
Assist the client to change positions
Promptly inform the primary care provider
Advocate for the client to have a vaginal examination
Continue to monitor the client and the fetal heart rate
The Correct Answer is A
A. Changing the client's position, especially if there's a cord compression causing variable decelerations, is a priority intervention to alleviate the decelerations.
B. Informing the primary care provider is important, but immediate action to address the decelerations should be taken first.
C. Vaginal examination is not the immediate priority when variable decelerations are observed; interventions to improve fetal oxygenation are more critical.
D. Continuous monitoring is essential, but addressing the cause of the variable decelerations by changing the client's position is the immediate action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Artificial rupture of membranes involves breaking the amniotic sac to induce or augment labor but is not a method for cervical ripening.
B. Laminaria is a common mechanical method used to ripen the cervix before labor induction.
Laminaria tents are placed in the cervix to gradually dilate and soften it.
C. A catheter filled with sterile saline may be used for cervical ripening, but it is not the most common mechanical method.
D. Membrane stripping involves separating the amniotic membrane from the cervix, not a mechanical method for cervical ripening.
Correct Answer is ["A","C","D","E"]
Explanation
A. Carboprost (Hemabate) is a prostaglandin used to control postpartum hemorrhage.
B. Hydralazine is an antihypertensive medication, not typically used for postpartum hemorrhage.
C. Misoprostol (Cytotec) is a prostaglandin that can be used to prevent or treat postpartum hemorrhage.
D. Methylergonovine (Methergine) is an ergot alkaloid used to manage postpartum hemorrhage.
E. Oxytocin (Pitocin) is a uterotonic medication commonly used to prevent or treat postpartum hemorrhage.
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