A client's labor has progressed so rapidly that a precipitous birth is occurring. The nurse should:
1. Go to the nurse's station and immediately call the physician.
2. Run to the delivery room for an emergency birth pack.
3. Stay with the client and ask for auxiliary personnel for assistance.
4. Try to delay the delivery of the infant's head until the physician arrives.
3
Rationale:
1. The nurse can direct auxiliary personnel to contact the physician.
2. The nurse can direct auxiliary personnel to retrieve the emergency birth pack.
3. If birth is imminent, the nurse must not leave the client alone.
4. The nurse should not hold the infant's head back from delivering, but should apply gentle pressure against the head to prevent it from popping out rapidly.
You might also like to view...
A nurse obtains the health history of a client who is newly admitted to the medical unit. Which statement by the client should alert the nurse to the presence of edema?
a. "I wake up to go to the bathroom at night." b. "My shoes fit tighter by the end of the day." c. "I seem to be feeling more anxious lately." d. "I drink at least eight glasses of water a day."
The nurse providing health promotion to a group of young adult women would plan to offer which services as a priority? (Select all that apply.)
A. Aspirin prophylaxis B. Breast cancer screen C. Colorectal cancer screen D. Influenza vaccine E. Tobacco and alcohol screen
A client finds it impossible to use artificial sweeteners because they are far too sweet and don't taste natural. What advice can the nurse give the client?
a. "That is the nature of artificial sweeteners and you will get used to it." b. "You may use natural sugar unless there is a medical reason to do otherwise." c. "Try experimenting with different amounts of the sweeteners to see what works best for you." d. "The chemicals contribute to the unnatural taste; try a different formulation to see if the taste improves."
When a nurse suspects a client is having a transfusion reaction, which action must the nurse take immediately?
a. Call the blood bank or laboratory and report findings. b. Call the health care provider and report findings. c. Continue to observe the client closely. d. Stop the infusion.