A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority?
Select one:
Preparing the woman for vaginal birth
Covering the cord in sterile gauze soaked in saline
c Placing the patient on knee-chest position
Preparing the woman for a cesarean birth
Preparing the woman for a cesarean birth
The Correct Answer is C
a. This is not the correct intervention for a prolapsed umbilical cord.
b. This is not the correct intervention for a prolapsed umbilical cord.
c. This is the correct intervention for a prolapsed umbilical cord as it helps relieve pressure on the cord and improve fetal oxygenation.
d. This may be necessary if other interventions are not successful, but it is not the initial priority.
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Related Questions
Correct Answer is D
Explanation
a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.
Correct Answer is D
Explanation
a. A negative rubella titer indicates that the client is not immune to rubella.
b. Rubella vaccine is contraindicated during pregnancy.
c. A negative rubella titer does not indicate whether the client is currently experiencing a rubella infection.
d. A negative rubella titer means that the client does not have antibodies against the rubella virus, which can cause congenital defects in the fetus if the mother gets infected during pregnancy. Therefore, the client should receive the rubella vaccine after delivery, when it is safe to do so.
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