During a vaginal exam, the nurse palpates a loop of prolapsed umbilical cord beside the fetal head. The nurse has the client's husband assist the client onto her hands and knees while the nurse supports the fetal head

The rationale for this action is to a. help the fetal head descend faster
b. prevent head compression during contractions
c. facilitate rapid dilation of the cervix
d. relieve compression of the cord through gravity and manipulation


D
The purpose of having the client's husband assist the client onto her hands and knees while the nurse supports the fetal head is to relieve compression of the cord through gravity and manipulation. The nurse would not want the fetal head to descend faster, because it would put more pressure on the prolapsed cord. Preventing head compression during contractions is a result of the intervention; it is not the primary goal, as the scenario doesn't tell you about the presenting part. Facilitating rapid dilation of the cervix is not the purpose of the intervention.

Nursing

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Nursing