The nurse suspects umbilical cord prolapse in a patient whose membranes have just ruptured because she notes which assessment finding?

The correct answer is choice C. Stop it completely.This is because oxytocin infusion can cause uterine hyperstimulation, which can worsen the cord compression and compromise fetal oxygenation.Stopping the oxytocin infusion can reduce the frequency and intensity of contractions and relieve pressure on the cord.

Choice A is wrong because increasing the oxytocin infusion rate can increase the risk of cord prolapse and fetal hypoxia.Choice B is wrong because decreasing the oxytocin infusion rate may not be enough to prevent cord compression and fetal distress.Choice D is wrong because maintaining the oxytocin infusion rate can prolong the labor and increase the chance of fetal compromise.

The correct answer is choiceA.

The nurse should instruct the client to avoid lifting anything heavier than the newborn for 6 weeks.This is because lifting heavy objects can strain the abdominal muscles and the incision site, and increase the risk of bleeding and infection.

ChoiceBis wrong because the nurse should advise the client to wait at least 4 to 6 weeks before resuming sexual intercourse.This is to allow the incision to heal and prevent infection and discomfort.

ChoiceCis wrong because the nurse should not recommend ibuprofen for pain relief as it can interfere with blood clotting and increase bleeding.The nurse should suggest acetaminophen or a prescribed analgesic instead.

ChoiceDis wrong because the nurse should not tell the client to report any foul-smelling vaginal discharge to the provider.

The client should expect some vaginal discharge (lochia) for several weeks after a cesarean delivery, which may have a mild odor.However, the nurse should instruct the client to report signs of infection such as fever, chills, redness, swelling, or increased pain at the incision site.