Author Question: A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What ... (Read 152 times)

viki

  • Hero Member
  • *****
  • Posts: 525
A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority?
 
  a. Placing the woman in the knee-chest position
  b. Covering the cord in sterile gauze soaked in saline
  c. Preparing the woman for a cesarean birth
  d. Starting oxygen by face mask

Question 2

In planning for an expected cesarean birth for a woman who has given birth by cesarean previously and who has a fetus in the transverse presentation, which information would the nurse include?
 
  a. Because this is a repeat procedure, you are at the lowest risk for complications.
  b. Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures.
  c. Because this is your second cesarean birth, you will recover faster.
  d. You will not need preoperative teaching because this is your second cesarean birth.



randomguy133

  • Sr. Member
  • ****
  • Posts: 310
Answer to Question 1

ANS: A
The woman is assisted into a position (e.g., modified Sims position, Trendelenburg position, or the knee-chest position) in which gravity keeps the pressure of the presenting part off the cord. Although covering the cord in sterile gauze soaked saline, preparing the woman for a cesarean, and starting oxygen by face mark are appropriate nursing interventions in the event of a prolapsed cord, the intervention of top priority would be positioning the mother to relieve cord compression.

Answer to Question 2

ANS: B
Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures is the most appropriate statement. It is not accurate to state that the woman is at the lowest risk for complications. Both maternal and fetal risks are associated with every cesarean section. Because this is your second cesarean birth, you will recover faster is not an accurate statement. Physiologic and psychologic recovery from a cesarean section is multifactorial and individual to each client each time. Preoperative teaching should always be performed, regardless of whether the client has already had this procedure.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Cucumber slices relieve headaches by tightening blood vessels, reducing blood flow to the area, and relieving pressure.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

For a complete list of videos, visit our video library