Which interventions are appropriate when managing a prolapsed umbilical cord during labor? (Select all that apply)
Place the mother in the knee-chest position.
Encourage the mother to push vigorously.
Apply a warm compress to the umbilical cord.
Administer oxygen to the mother.
Correct Answer : A,D
Choice A rationale
Placing the mother in the knee-chest position helps relieve pressure on the umbilical cord, improving blood flow and oxygen delivery to the fetus.
Choice B rationale
Encouraging vigorous pushing can exacerbate the prolapse, reducing blood flow to the fetus and increasing the risk of complications.
Choice C rationale
Applying a warm compress to the umbilical cord is not effective in managing a prolapsed cord and does not improve fetal outcomes.
Choice D rationale
Administering oxygen to the mother increases the amount of oxygen delivered to the fetus, potentially mitigating the effects of the prolapse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Postmaturity syndrome occurs in pregnancies that extend beyond 42 weeks, not in cases of premature labor.
Choice B rationale
Premature labor can increase the risk of neonatal infections due to the underdeveloped immune system of preterm infants.
Choice C rationale
Macrosomia refers to a large newborn, typically associated with prolonged pregnancies, not premature labor.
Choice D rationale
Maternal hypertension can lead to premature labor, but premature labor does not increase the risk of developing maternal hypertension.
Correct Answer is A
Explanation
Choice A rationale
Bruising on the head is common in newborns after a precipitous delivery due to rapid passage through the birth canal, causing trauma to the head.
Choice B rationale
Low birth weight is not specifically associated with precipitous delivery but could be related to other prenatal factors affecting fetal growth.
Choice C rationale
Hypotonia is not a typical finding in a newborn after a precipitous delivery, though it could indicate other neurological or muscular issues.
Choice D rationale
Hyperthermia is not a common finding directly associated with precipitous delivery but could be related to other factors or conditions in the newborn.
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