This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A client with polyhydramnios was admitted to a labor-birth-recovery-postpartum (LDRP) suite. Her ... (Read 69 times)

jon_i

  • Hero Member
  • *****
  • Posts: 549
on: Jun 28, 2018
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
Reply #1 on: Jun 28, 2018
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
:D TYSM

kthug

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

A seasonal flu vaccine is the best way to reduce the chances you will get seasonal influenza and spread it to others.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

The postoperative client supports an incision with a folded pillow when taking a deep breath and cou The postoperative client supports an incision with a folded pillow when taking a deep breath and cou
A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern
North Korea: Labor Issues North Korea: Labor Issues
Sample client goals from the Wellness Massage Pyramid. Sample client goals from the Wellness Massage Pyramid.
A hot stone placed under the client’s neck. A hot stone placed under the client’s neck.
Overallocation of Labor to Sector 1 Overallocation of Labor to Sector 1
Video: Role of ATP in muscle movement

For a complete list of videos, visit our video library