A nurse is assisting with an artificial rupture of membranes (AROM) for a client who is in active labor.
The nurse should report which of the following findings to the provider immediately?
Clear amniotic fluid
Fetal heart rate of 140 bpm
Cervical dilation of 6 cm
Recession of the fetal head.
The Correct Answer is D
This is a sign of umbilical cord prolapse, which is a medical emergency that requires immediate delivery of the baby. The umbilical cord can become compressed and cut off oxygen and blood supply to the baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is a sign of umbilical cord prolapse, which is a medical emergency that requires immediate delivery of the baby.The umbilical cord can become compressed and cut off oxygen and blood supply to the baby.
Correct Answer is C
Explanation
Oxytocin is a hormone that stimulates uterine contractions and can be used to induce or augment labor.However, it also increases the risk of uterine rupture, especially in women who have a scarred uterus from a previous cesarean delivery with a vertical uterine incision.A vertical uterine incision is made in the contractile part of the uterus and is more likely to tear under stress than a low transverse incision, which is made in the lower segment of the uterus.
Normal ranges for oxytocin infusion during labor are 0.5 to 20 milliunits per minute, depending on the indication and maternal and fetal status.The infusion rate should be adjusted according to the frequency and strength of uterine contractions and the progress of cervical dilation.
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