A pregnant woman's amniotic membranes rupture. Prolapsed ...

[viki]

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]

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.