A pregnant woman's amniotic membranes rupture and a prolapsed umbilical cord is found. What intervention would be the first priority?
Placing the woman in the knee-chest position.
Starting oxygen by facemask.
Preparing the woman for a vaginal birth.
Covering the cord in sterile gauze soaked in saline.
The Correct Answer is A
In the case of a prolapsed umbilical cord, the first priority intervention is to relieve pressure on the cord. Placing the woman in the knee-chest position or Trendelenburg position with the hips elevated is the best way to achieve this. This position helps to reduce the compression of the cord and improve fetal oxygenation.
Option B is incorrect because while oxygen may be necessary, relieving pressure on the cord is the priority.
Option C is incorrect because a vaginal birth should not proceed with a prolapsed umbilical cord, as it can cause cord compression and fetal distress.
Option D is incorrect because covering the cord in sterile gauze soaked in saline is not a priority intervention and may not be effective in relieving pressure on the cord.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This tool helps in assessing the severity of withdrawal symptoms in infants who were exposed to opioids during pregnancy. Based on the Finnegan score, the nurse can implement appropriate interventions to manage the symptoms and prevent complications. While offering the infant a pacifier with a drop of mom's breast milk or tightly swaddling the infant may be helpful for soothing the infant, these interventions may not directly address the underlying hyperreflexia associated with opioid withdrawal. Placing the infant under a radiant warmer is not indicated for managing hyperreflexia.
Correct Answer is B
Explanation
Methotrexate is a medication that can be used to treat an ectopic pregnancy by stopping the growth of the developing embryo and allowing the body to absorb it.
Surgery, such as salpingostomy or salpingectomy, may be required in some cases. Bedrest and suction D&C are not typically part of the treatment plan for an ectopic pregnancy.
A cesarean section is a surgical procedure used for delivering a baby during a full-term pregnancy and is not related to an ectopic pregnancy.
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