A nurse is caring for a client who is at 36 weeks of gestation.

Exhibits

For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Rationale:

A. While covering the cord with a sterile, moist saline dressing is important, it is not the first priority when the umbilical cord is prolapsed.

B. While preparing for an immediate birth may become necessary, the first action should be to relieve pressure on the cord to prevent cord compression and compromise to fetal circulation.

C. This is the priority action to prevent cord compression and maintain fetal oxygenation.

D. Placing the client in the knee-chest position can help relieve pressure on the cord, but the nurse's immediate action should be to manually support the cord while awaiting further

instructions from the healthcare provider.

Rationale:

A. Green penile discharge is not a typical finding in genital herpes. Discharge associated with genital herpes is usually clear or cloudy and may be accompanied by pain or itching.

B. Influenza-like symptoms, such as fever, headache, muscle aches, and fatigue, are common manifestations of genital herpes. However, they are not specific to the condition and can occur with various viral infections.

C. Anuria, or the absence of urine production, is not associated with genital herpes. It is a symptom of renal dysfunction or urinary tract obstruction.

D. White- or flesh-colored papillary growths in the genital area, known as genital warts or condylomata acuminata, are a characteristic finding of genital herpes caused by HSV 2. These growths are typically painless but can cause itching or discomfort.