More questions on this topic
More questions on this topic ( 15 Questions)
A patient’s umbilical cord prolapses during labor induction with oxytocin infusion.
Which action by the nurse takes priority?
Stopping oxytocin infusion will not prevent cord compression or fetal hypoxia. Oxytocin may be stopped after applying pressure to the presenting part and notifying the physician.
Placing the patient in knee-chest position may not be effective in relieving cord compression.
It may also be uncomfortable and difficult for the patient to maintain. A better position would be Trendelenburg or modified Sims.
Cord prolapse is an emergency situation that requires immediate delivery to save the fetus. Applying pressure to the presenting part with hand can help relieve the compression of the cord and maintain fetal oxygenation until delivery.
Administering oxygen via non-rebreather mask is not a priority action. Oxygen may be given after applying pressure to the presenting part and notifying the physician, but it will not improve fetal oxygenation if the cord is compressed.
The correct answer is choice C. Apply pressure to presenting part with hand.
This is because cord prolapse is an emergency situation that requires immediate delivery to save the fetus. Applying pressure to the presenting part with hand can help relieve the compression of the cord and maintain fetal oxygenation until delivery.
Choice A is wrong because stopping oxytocin infusion will not prevent cord compression or fetal hypoxia. Oxytocin may be stopped after applying pressure to the presenting part and notifying the physician.
Choice B is wrong because placing the patient in knee-chest position may not be effective in relieving cord compression.
It may also be uncomfortable and difficult for the patient to maintain. A better position would be Trendelenburg or modified Sims.
Choice D is wrong because administering oxygen via non-rebreather mask is not a priority action. Oxygen may be given after applying pressure to the presenting part and notifying the physician, but it will not improve fetal oxygenation if the cord is compressed.
