This topic contains a solution. Click here to go to the answer

Author Question: A client with polyhydramnios was admitted to a labor-birth-recovery-postpartum (LDRP) suite. Her ... (Read 104 times)

jon_i

  • Hero Member
  • *****
  • Posts: 549
A client with polyhydramnios was admitted to a labor-birth-recovery-postpartum (LDRP) suite. Her membranes rupture and the fluid is clear and odorless, but the fetal heart monitor indicates bradycardia and variable decelerations.
 
  Which action should be taken next?
 
  a. Perform Leopold maneuvers.
  b. Perform a vaginal examination.
  c. Apply warm saline soaks to the vagina.
  d. Place the client in a high Fowler position.

Question 2

Which technique is least effective for the client with persistent occiput posterior position?
 
  a. Squatting
  b. Lying supine and relaxing
  c. Sitting or kneeling, leaning forward with support
  d. Rocking the pelvis back and forth while on hands and knees



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

meganlapinski

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

ANS: B
A prolapsed cord may not be visible but may be palpated on vaginal examination. The priority is to relieve pressure on the umbilical cord. Leopold maneuvers are not an appropriate action at this time. Moist towels retard cooling and drying of the prolapsed cord, but it is hoped the fetus will be delivered before this occurs. The high Fowler position will increase cord compression and decrease fetal oxygenation.

Answer to Question 2

ANS: B
Lying supine increases the discomfort of back labor. Squatting aids rotation and fetal descent. A sitting or kneeling position may help the fetal head to rotate to occiput anterior. Rocking the pelvis encourages rotation from occiput posterior to occiput anterior.




jon_i

  • Member
  • Posts: 549
Reply 2 on: Jun 28, 2018
Excellent


nothere

  • Member
  • Posts: 324
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Between 1999 and 2012, American adults with high total cholesterol decreased from 18.3% to 12.9%

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

For a complete list of videos, visit our video library