Nursing interventions and Management
Nursing interventions and Management ( 6 Questions)
A nurse is preparing a client for an emergency cesarean birth due to umbilical cord prolapse.
Which of the following interventions should the nurse include in the preoperative care? (Select all that apply.).
These interventions are part of the preoperative care for a client who is undergoing an emergency cesarean birth due to umbilical cord prolapse. Umbilical cord prolapse is a medical emergency that occurs when the umbilical cord slips through the cervix and into the vagina before the baby, causing fetal hypoxia.
These interventions are part of the preoperative care for a client who is undergoing an emergency cesarean birth due to umbilical cord prolapse. Umbilical cord prolapse is a medical emergency that occurs when the umbilical cord slips through the cervix and into the vagina before the baby, causing fetal hypoxia.
These interventions are part of the preoperative care for a client who is undergoing an emergency cesarean birth due to umbilical cord prolapse. Umbilical cord prolapse is a medical emergency that occurs when the umbilical cord slips through the cervix and into the vagina before the baby, causing fetal hypoxia.
Performing a leopold maneuver to determine fetal position is not necessary in this situation, as the fetal presentation is already known and the priority is to deliver the baby as soon as possible.
Applying an external fetal monitor to assess fetal heart rate is not sufficient in this situation, as the cord compression may cause severe bradycardia or variable decelerations. The nurse should manually lift the presenting part and hold it off the prolapsed cord while preparing for cesarean delivery.
The correct answer is choice A, B and C. These interventions are part of the preoperative care for a client who is undergoing an emergency cesarean birth due to umbilical cord prolapse. Umbilical cord prolapse is a medical emergency that occurs when the umbilical cord slips through the cervix and into the vagina before the baby, causing fetal hypoxia.
Choice D is wrong because performing a leopold maneuver to determine fetal position is not necessary in this situation, as the fetal presentation is already known and the priority is to deliver the baby as soon as possible.
Choice E is wrong because applying an external fetal monitor to assess fetal heart rate is not sufficient in this situation, as the cord compression may cause severe bradycardia or variable decelerations. The nurse should manually lift the presenting part and hold it off the prolapsed cord while preparing for cesarean delivery.