What factor found in maternal history should alert the nurse to the potential for a prolapsed umbilical cord?
a. Oligohydramnios
b. Pregnancy at 38 weeks of gestation
c. Presenting part at station –3
d. Meconium-stained amniotic fluid
C
Feedback
A Hydramnios puts the woman at high risk for a prolapsed umbilical cord.
B A very small fetus, normally preterm, puts the woman at risk for a prolapsed
umbilical cord.
C Because the fetal presenting part is positioned high in the pelvis and is not well
applied to the cervix, a prolapsed cord could occur if the membranes rupture.
D Meconium-stained amniotic fluid shows that the fetus already has been
compromised, but it does not increase the chance of a prolapsed cord.
You might also like to view...
A patient was tested for HIV using enzyme immunoassay (EIA) and results were positive. The nurse should expect the primary care provider to order what test to confirm the EIA test results?
A) Another EIA test B) Viral load test C) Western blot test D) CD4/CD8 ratio
The nurse is completing the preoperative checklist on a client. The client states, "I take an aspirin every day for my heart." How does the nurse respond?
a. "I will call your doctor and request a pre-scription for pain medication." b. "I need to call the surgeon and reschedule your surgery." c. "I'll give you the prescribed Tylenol to minimize any headache before surgery." d. "I need to administer vitamin K to prevent bleeding during the procedure."
A patient with chronic renal failure receives hemodialysis treatments 3 days a week. Every 2 weeks, the patient requires a transfusion of 1 or 2 U of packed red blood cells. What is the probable reason for this patient's frequent transfusion needs?
a. Too much blood phlebotomized for tests b. Increased destruction of red blood cells because of the increased toxin levels c. Lack of production of erythropoietin to stimulate red blood cell formation d. Fluid retention causing hemodilution
The first day after surgery to repair a fractured hip sustained from a fall, an older adult client refuses to ambulate but states, "I will consider it tomorrow."
Which is the priority action by the nurse? A) Coordinate personnel to assist with ambulation. B) Document the client's refusal. C) Assess why the client is refusing to ambulate. D) Notify the healthcare provider.