When a prolapsed cord is identified, which of these nursing actions assumes priority?
a. Assist client into a knee-chest position or modified Sims' position.
b. Attempt to replace the cord into the uterus with a sterile gloved hand.
c. Cover the cord with a sterile towel, and start oxygen via mask at 10 L per minute.
d. Insert two fingers of a sterile gloved hand into the vagina, and put pressure on the presenting part to lift it off the cord.
D
If the client is experiencing a prolapsed cord, the nursing priority would be to insert two fingers of a sterile gloved hand into the vagina, and put pressure on the presenting part to lift it off the cord and prevent occlusion.
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A 17-year-old female patient complains of amenorrhea for the last 8 months, weight gain, excessive hair growth on the arms and chest, and development of acne. Pelvic examination is normal. The clinician should recognize these are signs of:
A. Ovarian cancer B. Endometriosis C. Hormonal imbalance D. Stress-induced anovulation
A high-school football player has been diagnosed as having osteosarcoma of the femur. His mother is angry because she told him not to play football
Which of the following health teaching points would you include in the teaching plan for the boy and his mother? A) Osteosarcoma often follows trauma, such as a football injury. B) He can expect some discoloration of his leg following chemotherapy. C) Football injuries do not contribute to the development of a tumor. D) Tumor growth is more related to his dislike of milk.
Concerning systemic analgesia administered during labor, nurses should be aware that:
1. systemic analgesics cross the maternal blood-brain barrier as easily as they do the fetal blood-brain barrier. 2. effects on the fetus and newborn can include decreased alertness and delayed sucking. 3. IM administration is preferred over IV administration. 4. IV patient-controlled analgesia (PCA) results in more analgesia being used.
A child at the healthcare facility is scheduled to undergo surgery. Which intervention is
a measure to be taken immediately before the surgery? A) Take and record vital signs and weight B) Ask family to fill out the admissions forms C) Determine blood type and crossmatch D) Perform x-ray examination and blood tests