A nurse is caring for a client who is menopausal and asks the nurse about the use of herbal therapies to reduce her discomfort. Which of the following statements should the nurse make?

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. Decreased blood pressure: Menopause can be associated with fluctuations in blood pressure, but it is not typically characterized by decreased blood pressure.

B. Urinary retention: Urinary symptoms such as urgency, frequency, or stress incontinence may occur during menopause, but urinary retention is not a typical manifestation.

C. Dryness with intercourse: Vaginal dryness is a common symptom of menopause due to decreased estrogen levels, leading to changes in vaginal tissue and lubrication, which can cause discomfort during intercourse.

D. Elevation in body temperature above 37.8°C (100°F): Hot flashes are a hallmark symptom of menopause and are characterized by sudden feelings of heat, sweating, and flushing, but they do not typically cause a sustained elevation in body temperature.