The nurse is preparing a client with cephalopelvic disproportion (CPD) for an immediate cesarean birth. What is the last assessment that the nurse should make before the client is draped for surgery?
1. Vaginal examination
2. Fetal heart tones
3. Maternal temperature
4. Maternal urine output
2
Explanation:
1. Vaginal examination is unnecessary when CPD is present.
2. Fetal heart tones are assessed just prior to the start of surgery because the supine position can lead to fetal hypoxia.
3. Maternal temperature is monitored by anesthesia personnel.
4. Maternal urine output is not significant at this point.
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