Which nursing action must be initiated first when there is evidence of prolapsed cord?
a. Notify the physician.
b. Apply a scalp electrode.
c. Prepare the mother for an emergency cesarean delivery.
d. Reposition the mother with her hips higher than her head.
D
The priority is to relieve pressure on the cord. Changing the maternal position will shift the position of the fetus so that the cord is not compressed.
Notifying the physician is a priority but not the first action.
This would not be appropriate at this time.
This would not be the first priority.
You might also like to view...
The nurse is caring for a patient who has a pressure ulcer on the hip. The ulcer is filled with purulent discharge and has black areas over part of it. It is painful and has a foul odor. What must be done first for healing to occur?
a. Intravenous antibiotic administration b. Topical antibiotic administration c. Wound débridement d. Wound culture
What is a significant common side effect that occurs with opioid administration?
a. Euphoria b. Diuresis c. Constipation d. Allergic reactions
The nurse is assessing an older adult patient who presents with a sprained ankle. Which finding would cause the nurse to suspect abuse?
1) The patient states, "I tripped on a throw rug in the living room." 2) The patient waited 3 days until seeking treatment. 3) The patient's caregiver states, "My mom has never fallen before. Is she ok?" 4) The patient asks that her son be present for the exam.
Which of the following is an adverse effect of oxytocics due to which these agents are contraindicated in patients with asthma?
A. Oxytocics cause vomiting and diarrhea. B. Oxytocics cause constriction of bronchial smooth muscle. C. Oxytocics cause headache and dizziness. D. None of these are correct.