Which of the following statements by a patient indicates understanding of how to prevent umbilical cord prolapse?
“I will avoid squatting or sitting on the toilet after my water breaks.”
“I will drink plenty of fluids to keep my amniotic fluid level normal.”
“I will monitor my baby’s movements and report any decrease.”
“I will sleep on my left side to improve blood flow to my baby.”.
The Correct Answer is A
The correct answer is choice A. “I will avoid squatting or sitting on the toilet after my water breaks.” This statement indicates that the patient understands how to prevent umbilical cord prolapse, which is a rare but serious complication that occurs when the umbilical cord slips out of the cervix before the baby during labor. This can cut off the baby’s blood and oxygen supply and require immediate delivery.
Choice B is wrong because drinking plenty of fluids does not affect the amniotic fluid level, which is determined by the placenta and the baby’s kidneys. Excessive amniotic fluid (polyhydramnios) can actually increase the risk of umbilical cord prolapse.
Choice C is wrong because monitoring the baby’s movements does not prevent umbilical cord prolapse, although it can help detect fetal distress if the cord is compressed. Decreased fetal movements can have other causes besides cord prolapse, such as fetal sleep cycle, maternal medication, or placental insufficiency.
Choice D is wrong because sleeping on the left side does not prevent umbilical cord prolapse, although it can improve blood flow to the baby and reduce the risk of supine hypotension syndrome. Umbilical cord prolapse can occur regardless of the maternal position.
Normal ranges for amniotic fluid index (AFI) are 5 to 25 cm. Normal ranges for fetal heart rate (FHR) are 110 to 160 beats per minute (bpm).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. A patient who is 34 weeks pregnant with a breech presentation and ruptured membranes.This is because breech presentation and ruptured membranes are both risk factors for umbilical cord prolapse, which is where the umbilical cord descends through the cervix and is alongside or below the presenting part of the fetus.This can cause fetal hypoxia and distress.
Choice A is wrong because a cephalic presentation and intact membranes are not risk factors for umbilical cord prolapse.
Choice B is wrong because although twins and ruptured membranes are risk factors for umbilical cord prolapse, the risk is lower than in choice D. Choice C is wrong because although a transverse lie is a risk factor for umbilical cord prolapse, the risk is lower than in choice D if the membranes are intact.
Correct Answer is C
Explanation
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.