A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.
What would the nurse do next?
Notify the primary care provider immediately.
Perform a vaginal exam.
Change the linen saver pad.
Check the fetal heart rate.
The Correct Answer is D
Choice A rationale:
Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.
Choice B rationale:
A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.
Choice C rationale:
Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.
Choice D rationale:
Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Perinatal transmission is a way HIV can be transmitted, but it’s not the primary means for adolescents.
Choice B rationale:
Sexual intercourse is the primary means by which adolescents are exposed to HIV.
Choice C rationale:
Sharing needles for IV drug use is a risk factor, but not the primary means for adolescents.
Choice D rationale:
Blood transfusion was a common means of transmission in the past, but it’s rare now due to rigorous screening.
Correct Answer is D
Explanation
Choice A rationale:
Checking for a compressed umbilical cord is important as it can cause fetal distress. However, it’s not the first step in response to abnormal EFM tracing.
Choice B rationale:
Preparing for an emergency cesarean birth might be necessary if the abnormality persists and indicates fetal distress. But it’s not the immediate first step.
Choice C rationale:
Documenting the finding is part of the nursing process, but immediate interventions to address the abnormality take precedence.
Choice D rationale:
Helping the woman change positions can relieve pressure on the umbilical cord, potentially resolving the abnormality. This is often the first intervention.
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