A nurse is preparing a client who has a prolapsed umbilical cord for an emergency cesarean delivery.
Which of the following medications should the nurse anticipate administering to the client?
Magnesium sulfate
Terbutaline
Oxytocin
Methylergonovine
The Correct Answer is B
Terbutaline is a medication that can relax the uterine muscles and reduce contractions. This can help relieve pressure on the prolapsed umbilical cord and restore blood flow to the baby while preparing for an emergency cesarean delivery.
Choice A is wrong because magnesium sulfate is used to prevent seizures in women with preeclampsia or eclampsia, not to treat umbilical cord prolapse.
Choice C is wrong because oxytocin is used to induce or augment labor, not to stop it. Oxytocin can increase contractions and worsen cord compression.
Choice D is wrong because methylergonovine is used to prevent or treat postpartum hemorrhage, not to treat umbilical cord prolapse. Methylergonovine can also increase contractions and worsen cord compression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
The correct answer is choices A, B, C and E.These are all risk factors for umbilical cord prolapse, which is a complication that occurs when the umbilical cord drops through the cervix and into the vagina ahead of the baby during delivery.This can cause fetal hypoxia and distress by compressing the cord and reducing blood flow to the baby.
Choice A is correct because polyhydramnios, or excessive amniotic fluid around the fetus, can cause the cord to slip out when the membranes rupture.
Choice B is correct because breech presentation, or abnormal positioning of the baby, can make it easier for the cord to slip between and past the fetal feet and into the pelvis.
Choice C is correct because premature rupture of membranes, or breaking of the water before labor begins, can cause the cord to prolapse if the baby’s head is not well engaged in the pelvis.
Choice D is wrong because post-term pregnancy, or pregnancy that lasts longer than 42 weeks, is not a risk factor for umbilical cord prolapse.However, it can increase the risk of other complications such as fetal macrosomia, placental insufficiency and meconium aspiration.
Choice E is correct because multiple gestation, or having more than one baby in the uterus, can cause unstable lie, or frequent changes in the position of the baby.This can increase the risk of cord prolapse if the membranes rupture when the baby is not in a cephalic (head-down) position.
Correct Answer is B
Explanation
Terbutaline is a medication that can relax the uterine muscles and reduce contractions.This can help relieve pressure on the prolapsed umbilical cord and restore blood flow to the baby while preparing for an emergency cesarean delivery.
Choice A is wrong because magnesium sulfate is used to prevent seizures in women with preeclampsia or eclampsia, not to treat umbilical cord prolapse.
Choice C is wrong because oxytocin is used to induce or augment labor, not to stop it.Oxytocin can increase contractions and worsen cord compression.
Choice D is wrong because methylergonovine is used to prevent or treat postpartum hemorrhage, not to treat umbilical cord prolapse.Methylergonovine can also increase contractions and worsen cord compression.
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