Author Question: The nurse is explaining the technique of internal version to a group of nursing students. Which ... (Read 35 times)

ENagel · **on:** Jun 28, 2018

The nurse is explaining the technique of internal version to a group of nursing students. Which describes the technique of internal version?

a. Manipulation of the fetus from a breech to a cephalic presentation before labor begins
b. Manipulation of the fetus from a transverse lie to a longitudinal lie before cesarean birth
c. Manipulation of the second twin from an oblique lie to a transverse lie before labor begins
d. Manipulation of the second twin from a transverse lie to a breech presentation during vaginal birth

Question 2

The nurse is positioning the Foley catheter prior to a cesarean birth. Which position should the nurse use to place the catheter drainage tubing and catheter bag?

a. Place near the head of the table.
b. Position on top of the patient's leg.
c. Place at the foot and clamp during the cesarean section.
d. Position at the foot of the surgeon under the sterile drapes.

lorealeza · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Internal version is used only during vaginal birth to manipulate the second twin into a presentation that allows it to be born vaginally. For internal version to occur, the cervix needs to be completely dilated. For internal version to occur, the cervix needs to be dilated. Internal version is done to turn the second twin after the first twin is born.

Answer to Question 2

ANS: A
The drain tube of the catheter should be positioned under the client's to promote drainage and to keep the catheter away from the operative area. Urinary output must be continuously monitored. An early sign of hypovolemia is decreasing urinary output. The anesthesia clinician must monitor urine output during the surgery so it should not be clamped. The surgeon might step on the drainage bag if the catheter were below the drapes, and no one could monitor the urine output.