A woman who had two previous cesarean births is in active labor, when she suddenly complains of pain between her scapulae. The nurse's priority action is to
a. Reposition the woman with her hips slightly elevated.
b. Observe for abnormally high uterine resting tone.
c. Decrease the rate of nonadditive intravenous fluid.
d. Notify the physician promptly and prepare the woman for surgery.
D
Feedback
A Repositioning the woman with her hips slightly elevated is the treatment for a
prolapsed cord. That position in this scenario would cause respiratory
difficulties.
B Observing for high uterine resting tones should have been done before the
sudden pain. High uterine resting tones put the woman at high risk for uterine
rupture.
C The woman is now at high risk for shock. Nonadditive intravenous fluids should
be increased.
D Pain between the scapulae may occur when the uterus ruptures, because blood
accumulates under the diaphragm. This is an emergency that requires medical
intervention.
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