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 B
Explanation
This indicates a positive outcome because meconium aspiration can cause respiratory distress and infection in newborns.Apgar scores are used to assess the health of newborns at 1 and 5 minutes after birth based on five criteria: activity, pulse, grimace, appearance, and respiration.A score of 7 to 10 is considered normal.
Correct Answer is B
Explanation
The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis).Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.
Therefore, notifying the provider is the priority action.
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