Causes and risk factors
Causes and risk factors ( 9 Questions)
A nurse is preparing to perform a vacuum extraction for a client who has an obstructed labor due to a face presentation.
Which of the following actions should the nurse take? (Select all that apply.).
The nurse should obtain informed consent from the client before performing a vacuum extraction, as it is an operative vaginal delivery that carries some risks for the mother and the baby. The nurse should also monitor the fetal heart rate continuously during the procedure, as vacuum extraction can cause fetal distress or scalp injuries.
Prophylactic antibiotics are not routinely indicated for vacuum extraction, unless there is a risk of infection due to prolonged rupture of membranes or chorioamnionitis.
The nurse should apply traction to the vacuum cup only during contractions, not throughout them. Applying traction throughout contractions can increase the risk of maternal and fetal trauma.
The nurse should release the vacuum cup after every pull, not after every three pulls. Releasing the cup after every pull reduces the negative pressure on the fetal scalp and prevents excessive molding of the head.
The nurse should obtain informed consent from the client before performing a vacuum extraction, as it is an operative vaginal delivery that carries some risks for the mother and the baby. The nurse should also monitor the fetal heart rate continuously during the procedure, as vacuum extraction can cause fetal distress or scalp injuries.
The nurse should obtain informed consent from the client before performing a vacuum extraction, as it is an operative vaginal delivery that carries some risks for the mother and the baby. The nurse should also monitor the fetal heart rate continuously during the procedure, as vacuum extraction can cause fetal distress or scalp injuries.