While the placenta is being delivered after labor, a patient experiences an amniotic fluid embolism. What should the nurse do first to help this patient?
A) Administer oxygen by mask.
B) Increase intravenous fluid infusion rate.
C) Put firm pressure on the fundus of the uterus.
D) Tell the patient to take short, shallow breaths.
A
Feedback:
The clinical picture of an amniotic fluid embolism is dramatic. The patient suddenly experiences sharp chest pain and is unable to breathe as pulmonary artery constriction occurs. The immediate management is oxygen administration by face mask or cannula. Intravenous fluids; pressure on the fundus; or taking short, shallow breaths is not going to help the manifestations of an amniotic fluid embolism.
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