When a prolapsed cord is identified, which of these nursing ...

[bio_gurl]

When a prolapsed cord is identified, which of these nursing actions assumes priority?
 
  a. Assist client into a knee-chest position or modified Sims' position.
  b. Attempt to replace the cord into the uterus with a sterile gloved hand.
  c. Cover the cord with a sterile towel, and start oxygen via mask at 10 L per minute.
  d. Insert two fingers of a sterile gloved hand into the vagina, and put pressure on the presenting part to lift it off the cord.

Question 2

While awaiting the health care provider's arrival in a precipitate birth, which of these actions should the nurse take first?
 
  a. Hold the fetal head back by telling the mother to keep her legs together.
  b. Dry the baby immediately.
  c. Check for presence of a nuchal cord.
  d. Suction the baby's nose.

[djofnc]

Answer to Question 1

D
If the client is experiencing a prolapsed cord, the nursing priority would be to insert two fingers of a sterile gloved hand into the vagina, and put pressure on the presenting part to lift it off the cord and prevent occlusion.

Answer to Question 2

C
Prior to the health care provider's arrive in a imminent birth, the nurse should check for the presence of a nuchal cord.

[bio_gurl]

Thanks for the timely response, appreciate it

[peter]

Gracias!