After being in labor for several hours with no progress, the patient is diagnosed with cephalopelvic disproportion (CPD) and must have a cesarean section. The patient is being prepared for a cesarean delivery in the operating room
The doctor is present. The nurse knows that the last assessment the nurse should make just prior to the patient's being draped for surgery is:
1. Maternal temperature.
2. Maternal urine output.
3. Vaginal exam.
4. Fetal heart tones.
Correct Answer: 4
Rationale 1: Maternal temperature is monitored by anesthesia personnel.
Rationale 2: Maternal urine output is not significant at this point.
Rationale 3: Vaginal exam is unnecessary when cephalopelvic disproportion (CPD) is present.
Rationale 4: Fetal heart tones are assessed just prior to the start of surgery because the supine position can lead to fetal hypoxia.
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