A pregnant woman at 25 weeks of gestation tells the nurse that ...

[Destiiny22]

A pregnant woman at 25 weeks of gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise. Which response by the nurse is most accurate?
 
  a. That must have been a coincidence; babies can't respond like that.
  b. The fetus is demonstrating the aural reflex.
  c. Babies respond to sound starting at about 24 weeks of gestation.
  d. Let me know if it happens again; we need to report that to your midwife.

Question 2

A pregnant woman's amniotic membranes have ruptured. Prolapsed 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

[babybsemail]

Answer to Question 1

C

Feedback
A This statement is inaccurate. Fetuses respond to sound by 24 weeks. Acoustic stimulations can evoke a fetal heart rate response.
B There is no such thing as an aural reflex.
C This statement is accurate.
D This statement is not appropriate; it gives the impression that something is wrong.

Answer to Question 2

A

Feedback
A The woman is assisted into a position (e.g., modified Sims position, Trendelen-burg position, or the knee-chest position) in which gravity keeps the pressure of the presenting part off the cord.
B Covering the cord in sterile gauze soaked in saline is an appropriate nursing in-tervention in the event of a prolapsed cord, but the intervention of top priority would be positioning the mother to relieve cord compression.
C Preparing the woman for cesarean birth is an appropriate nursing intervention in the event of a prolapsed cord, but the intervention of top priority would be posi-tioning the mother to relieve cord compression.
D Starting oxygen by face mask is an appropriate nursing intervention in the event of a prolapsed cord, but the intervention of top priority would be positioning the mother to relieve cord compression.