During labor, the patient at 4 cm suddenly becomes dyspneic, cyanotic, and hypotensive. The nurse must prepare or arrange immediately for: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. CPR.
2. Cesarean delivery.
3. Immediate vaginal delivery.
4. McRoberts maneuver.
5. A crash cart.
1,2,5
Rationale 1: Dyspnea, cyanosis, and hypotension are symptoms of an amniotic fluid embolus, which necessitates immediate cesarean delivery and preparation for CPR, if indicated.
Rationale 2: Dyspnea, cyanosis, and hypotension are symptoms of an amniotic fluid embolus, which necessitates immediate cesarean delivery and preparation for CPR, if indicated.
Rationale 3: The patient is only 4 cm, so vaginal delivery will not take place immediately.
Rationale 4: McRoberts maneuver is used with shoulder dystocia.
Rationale 5: The chances of a code are high, so the crash cart needs to be available.
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