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.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter5: The Therapeutic Approach To The Patient With A Life-threatening Illness
Section: Chapter Questions
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.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.

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