During the nursing assessment of a woman with ruptured membranes, the nurse suspects a prolapsed umbilical cord. The nurse's priority action is to:
1. Help the fetal head descend faster.
2. Use gravity and manipulation to relieve compression on the cord.
3. Facilitate dilation of the cervix with prostaglandin gel.
4. Prevent head compression.
2
Rationale 1: The fetal head's descent would put further pressure on the umbilical cord and reduce blood flow and oxygenation to the fetus.
Rationale 2: The top priority is to relieve compression on the umbilical cord to allow blood flow to reach the fetus. A cesarean section is imminent.
Rationale 3: Further dilatation of the cervix is unnecessary in light of the impending cesarean section.
Rationale 4: Head compression is not a concern in the case of prolapsed umbilical cord. The cord is what is compressed.
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Most causes are not deterministic, but rather affect the probability that an effect will occur
A) True B) False
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