A client in the early stages of labour who was admitted to the labour unit with reports of ruptured membranes is being attended to by a nurse. During a vaginal check, the nurse notices that the foetal heart rate drops from 150 beats per minute to 110 beats per minute. A pulse near the cervix is noted by the nurse. Which of these tasks should the nurse carry out first? A. Push the cord back into the cervical os B. Prepare the woman for immediate vaginal birth C. Place the client in the supine position D. Insert a gloved hand into the vagina to lift the presenting part off of the cord.?

A client in the early stages of labour who was admitted to the labour unit with reports of ruptured membranes is being attended to by a nurse. During a vaginal check, the nurse notices that the foetal heart rate drops from 150 beats per minute to 110 beats per minute. A pulse near the cervix is noted by the nurse. Which of these tasks should the nurse carry out first? A. Push the cord back into the cervical os B. Prepare the woman for immediate vaginal birth C. Place the client in the supine position D. Insert a gloved hand into the vagina to lift the presenting part off of the cord.?

Microbiology for Surgical Technologists (MindTap Course List)

2nd Edition

ISBN:9781111306663

Author:Margaret Rodriguez, Paul Price

Publisher:Margaret Rodriguez, Paul Price

Chapter20: Diseases Of The Eyes, Ears, And Respiratory System

Section: Chapter Questions

Problem 3UTM

See similar textbooks

Similar questions

.A nurse is caring for a client who is in the first stage of labor with report of ruptured membranes prior to admission to the labor unit. The nurse observes the fetal heart rate changes baseline from 150/min to 110/min. during a vaginal exam. The nurse notes a pulsation at the cervix. Which of the following actions should the nurse perform first? Push the cord back into the cervical os Prepare the woman for immediate vaginal birth Place the client in the supine position Insert a gloved hand into the vagina to lift the presenting part off of the cord.
A nurse is reinforcing discharge teaching to a new parent regarding cord care. What information should be provided? 2. A nurse is collecting data on a pregnant client who is 12-weeks of gestation. What three (3) findings should be reported to the provider? 3. A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI right upper quadrant above maternal umbilicus. The nurse suspects the infant is in what presenting position?
A 29 year old female patient who is 8 months pregnant is having an emergency appendectomy. She will have to receive general anesthesia for the procedure. What postoperative symptoms should be closely monitored that might indicate preterm labor?
A client is scheduled for a contraction stress test on the labor and delivery unit following a nonreactive result on a nonstress test at the OB/GYN office. Nipple stimulation will be used to stimulate contractions. What should the nurse tell the client about the purpose of the test and what will be learned about fetal well-being? How can the nurse prepare the client for the test?
A client is in the first hour of her recovery after a vaginal birth. During an assessment, the lochia is moderate to heavy, bright red, and is tricking from the vagina. The nurse located the fundus at the umbilicus: it is firm and midline, with no palpable bladder. The client’s vital signs remain at their baseline. Based on the information, the nurse would implement which of the following actions? Document the findings as normal Increase IV rate Recheck the admission hematocrit and hemoglobin levels Report the findings to the healthcare provider
Which of the following findings should the nurse expect when assessing a client, 12 weeks’ gestation, with gestational trophoblastic disease (hydatidiform mole)? A. Protracted pain. B. Variable fetal heart decelerations. C. The uterus tends to expand faster than normally thus causes the uterus to reach its landmarks (just over the symphysis brim at 12 weeks, at the umbilicus at 20 to 24 weeks) before the usual time. D. Suicidal ideations
A client at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication? Question 37 options: a) The client complains of an increase in vaginal discharge b) The client says she feels pressure against her diaphragm when the baby moves c) The client has 1 pedal edema in both feet at the end of the day d) The client’s urine test is positive for glucose and ketones
The nurse is preparing to assist in performing Leopold Maneuvers on a pregnant clientWhat are two ) actions that must be performed prior to this procedure
Before assessing the postpartum client's uterus for firmness and position in relation to the umbilicus and midline , which of the following should the nurse do first ? a. Assist her to urinate b. Administer analgesia c. Assess the vital signs d. Ambulate her in the hall
With the cervix dilated to 8 cm, the client's contractions are stronger, and she becomes iritable towards her support person. She yells, "Don't touch me!" The best response by the nurse would be to EXCEPT: a. Position the client on her left side. b. Apply warm soaks or back rubs to the lower back. c. Ask the client to push actively since she is ready to deliver. d. Remind the support person that this is normal at this point in labor.
On performing Leopold’s maneuver on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. The nurse notifies the obstetrician. Which of the following is safe to assume? - Footling breech - Occiput presentation- Transverse lie- Compound presentation
A high risk pregnancy is one in which the mother or fetus has a significant increase chance of harm, damage, injury or disability. Mrs. Mariano, a 45-year-old mother is to undergo amniocentesis. Which of the following about the procedure indicates a need for further teaching? a. Amniotic fluid is obtained by inserting a small catheter intravaginally b. lt identifies chromosomal abnormalities c. It is usually performed at about 14-16 weeks d. Amniotic fluid may be analyzed to determine lung maturity