You do a vaginal examination and you detect a prolapsed cord. Your number one nursing priority would be to:
Place the client in a knee chest position.
Place 8L of 02 by mask, on the patient.
With your hand, during the vaginal exam, keep the fetal head from compressing the cord.
Obtain a consent for an immediate C-Section
The Correct Answer is C
A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.
B. Administering oxygen is important but does not address the primary issue of cord compression.
C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.
D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B, E, D, F, A, C
Explanation
Meiosis is the process of cell division that reduces the chromosome number by half, resulting in the formation of gametes (sperm and egg). This is the first step in the process of reproduction.
Fertilization occurs when a sperm cell unites with an egg cell to form a zygote. This marks the beginning of the formation of a new organism.
The zygote is the single-cell result of fertilization. It will undergo several mitotic divisions to form a blastocyst.
The blastocyst is a structure formed in the early development of mammals. It possesses an inner cell mass that will eventually develop into the embryo.
Nidation, or implantation, occurs when the blastocyst attaches to the uterine wall.
After implantation, the endometrium is called the decidua, which provides a nourishing environment for the developing embryo.
Correct Answer is C
Explanation
A. Hypoxemia is not directly associated with cephalohematoma.
B. Hypoglycemia is not a typical complication related to cephalohematoma.
C. A cephalohematoma can increase the risk of hyperbilirubinemia due to the breakdown of red blood cells in the hematoma, leading to increased bilirubin levels.
D. Hyperglycemia is not linked to cephalohematoma.
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