A patient in labor has a spinal cord injury and is unable to effectively push with contractions. Forceps will be used. What should the nurse do to prepare the patient for this type of delivery? (Select all that apply.)
A) Provide oxygen 2 L via face mask.
B) Validate that the cervix is fully dilated.
C) Determine that the patient's bladder is empty.
D) Begin an intravenous infusion of replacement fluid
E) Ensure that the patient's membranes have ruptured.
B, C, E
Feedback:
Prior to using forceps for a delivery, the cervix must be fully dilated, the patient's bladder must be empty, and the patient's membranes must have ruptured. The patient does not need oxygen for a forceps delivery. The patient does not need an intravenous infusion prior to a forceps delivery.
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