Introduction
Introduction ( 5 Questions)
A nurse is reviewing the risk factors for cord prolapse with a pregnant client who has polyhydramnios.
The nurse should inform the client that polyhydramnios increases the risk of cord prolapse by which mechanism?
It is not the fetal movement that causes cord prolapse, but the displacement of the presenting part from the cervix.
It creates more space for the cord to slip past the presenting part. Polyhydramnios is a condition where there is excessive accumulation of amniotic fluid during pregnancy. This can cause the fetus to be malpositioned or not engaged in the pelvis before labor, which increases the risk of cord prolapse. Cord prolapse is when the umbilical cord drops into the vagina ahead of the baby, which can compromise blood flow and oxygen delivery to the fetus
It is not the pressure on the membranes that causes cord prolapse, but the rupture of the membranes with a high or mobile presenting part.
It is not the reduced cushioning effect of the amniotic fluid that causes cord prolapse, but the increased space for the cord to slip past the presenting part.
The correct answer is choice B. It creates more space for the cord to slip past the presenting part. Polyhydramnios is a condition where there is excessive accumulation of amniotic fluid during pregnancy. This can cause the fetus to be malpositioned or not engaged in the pelvis before labor, which increases the risk of cord prolapse. Cord prolapse is when the umbilical cord drops into the vagina ahead of the baby, which can compromise blood flow and oxygen delivery to the fetus.
Choice A is wrong because it is not the fetal movement that causes cord prolapse, but the displacement of the presenting part from the cervix.
Choice C is wrong because it is not the pressure on the membranes that causes cord prolapse, but the rupture of the membranes with a high or mobile presenting part.
Choice D is wrong because it is not the reduced cushioning effect of the amniotic fluid that causes cord prolapse, but the increased space for the cord to slip past the presenting part.