The nurse recognizes that which fetal presentation increases a patient’s risk for umbilical cord prolapse? (Select all that apply).
Vertex
Breech
Transverse lie
Face
Brow
Correct Answer : B,C,D,E
The correct answer is choice B, C, D and E. These are all fetal presentations that increase a patient’s risk for umbilical cord prolapse. Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby. This can cause fetal hypoxia and brain damage due to cord compression.
Choice A is wrong because vertex presentation is the most common and normal fetal position, where the head is down and fully flexed.
This does not increase the risk of cord prolapse.
Normal ranges for fetal presentation are:
• Vertex: 95% of term deliveries.
• Breech: 3% to 4% of term deliveries.
• Transverse lie: 0.5% of term deliveries.
• Face: 0.2% of term deliveries.
• Brow: 0.1% of term deliveries.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
The correct answer is choice A and B. The nurse should place the patient in knee-chest or Trendelenburg position to relieve the pressure of the fetal presenting part on the prolapsed cord and improve fetal oxygenation.These positions also allow gravity to help keep the cord in the uterus and prevent further descent.
Choice C is wrong because supine position can worsen cord compression and compromise fetal blood flow.Choice D is wrong because lithotomy position can also increase cord descent and reduce fetal perfusion.Choice E is wrong because Sims position can cause cord prolapse if the membranes are intact or rupture spontaneously.
Normal ranges for fetal heart rate are 110 to 160 beats per minute.Cord prolapse can cause fetal bradycardia with decelerations during contractions due to cord compression.
This is a sign of fetal distress and requires immediate intervention.
Correct Answer is ["B","C","D","E"]
Explanation
The correct answer is choice B, C, D and E.These are all fetal presentations that increase a patient’s risk for umbilical cord prolapse.Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby.This can cause fetal hypoxia and brain damage due to cord compression.
Choice A is wrong because vertex presentation is the most common and normal fetal position, where the head is down and fully flexed.
This does not increase the risk of cord prolapse.
Normal ranges for fetal presentation are:
• Vertex: 95% of term deliveries.
• Breech: 3% to 4% of term deliveries.
• Transverse lie: 0.5% of term deliveries.
• Face: 0.2% of term deliveries.
• Brow: 0.1% of term deliveries.
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