Answer to Question 1
Correct Answer: 1
Rationale 1: Improving uterine blood flow to increase fetal oxygenation is the top priority when fetal bradycardia is present. Left lateral position increases uterine blood flow.
Rationale 2: If a cesarean is needed, a Foley catheter will be needed. But at this time, this is a low priority.
Rationale 3: The decision to go to cesarean birth is a medical decision. The nurse may not make medical decisions.
Rationale 4: Increasing IV fluids will facilitate uterine blood flow and fetal oxygenation if the patient is hypotensive. Decreasing the IV rate will not improve fetal heart tones.
Answer to Question 2
Correct Answer: 4
Rationale 1: Artificial rupture of membranes is contraindicated with a transverse lie because of the high risk for prolapsed cord.
Rationale 2: An internal fetal scalp electrode cannot be applied until membranes have ruptured. Artificial rupture of membranes is contraindicated with a transverse lie because of the high risk for prolapsed cord.
Rationale 3: The fetus is at risk for hypoxia secondary to prolapsed cord if the membranes rupture. The maternal blood pressure is less important than getting the cesarean under way.
Rationale 4: This is the highest priority because of the transverse lie and the risk of fetal hypoxia secondary to prolapsed cord if the membranes rupture.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Fluid mosaic model
A medical assistant listening to the patient and physician discuss the patient's care.
Positioning the Patient in the Prone Position
Apply direct pressure to the patient’s wound.