What three measures should the nurse implement to provide intrauterine resuscitation? Select the response that best indicates the priority of actions that should be taken
a. Call the provider, reposition the mother, and perform a vaginal examination.
b. Reposition the mother, increase intravenous (IV) fluid, and provide oxygen via face mask.
c. Administer oxygen to the mother, increase IV fluid, and notify the care provider.
d. Perform a vaginal examination, reposition the mother, and provide oxygen via face mask.
ANS: B
Repositioning the mother, increasing intravenous (IV) fluid, and providing oxygen via face mask are correct nursing actions for intrauterine resuscitation. The nurse should initiate intrauterine resuscitation in an ABC manner, similar to basic life support. The first priority is to open the maternal and fetal vascular systems by repositioning the mother for improved perfusion. The second priority is to increase blood volume by increasing the IV fluid. The third priority is to optimize oxygenation of the circulatory volume by providing oxygen via face mask. If these interventions do not resolve the fetal heart rate issue quickly, the primary provider should be notified immediately.
You might also like to view...
The nurse is administering furosemide (Lasix) to promote urinary excretion of excess fluids for a client with cirrhosis. When administering Lasix to this client, what should the nurse closely monitor?
A) Potassium level B) Calcium level C) Magnesium level D) AST levels
A nurse is preparing to administer medications to a patient recently started on delavirdine (Rescriptor). Which concurrent prescription should the nurse question before administration?
a. Alprazolam (Xanax) b. Diphenhydramine (Benadryl) c. Morphine d. Penicillin
A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis
How can the nurse best increase the client's motivation to learn? 1. Demonstrating the finger stick on the nurse 2. Offering to do the procedure for the client each time it is scheduled 3. Teaching the client's support system how to perform the procedure 4. Encouraging the client's participation each time the procedure is performed
A client who is receiving a blood transfusion suddenly exclaims to the nurse, "I don't feel right!" What does the nurse do next?
A. Calls the Rapid Response Team. B. Obtains vital signs and continues to monitor. C. Slows the infusion rate of the transfusion. D. Stops the transfusion.