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
The Ballard exam assesses gestational age, not substance exposure. It does not provide information about substance use disorder.
Choice B rationale
Non-nutritive sucking with a pacifier provides comfort and soothes newborns experiencing withdrawal symptoms due to substance exposure.
Choice C rationale
Naloxone is used to reverse opioid overdose, but it is not indicated for routine care of newborns with substance exposure.
Choice D rationale
Frequent bonding can overstimulate newborns withdrawing from substances. Limited, calming interactions are more appropriate in this context.
Correct Answer is ["A","D"]
Explanation
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.
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