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Practice Question

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina.

Answer Choices:

Correct Answer:

Apply internal upward pressure to the presenting part using two gloved fingers.

Rationale:

🔴 A prolapsed cord is an obstetric emergency that can lead to fetal hypoxia due to cord compression.

🔴 The immediate nursing priority is to relieve pressure on the cord by applying upward pressure with sterile-gloved fingers.

🔴 Simultaneously, help should be sought and preparation for an emergency delivery (often cesarean) should begin.

🔴 Additional measures such as positioning and oxygen may follow, but relieving pressure takes precedence.

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This question is from RN ATI Maternal Newborn Online-2019~Practice B with NGN which contains 97 questions.

More Questions from This Exam
A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment?

Answer Choices:

A. Discuss contraceptive options with the client and her partner.
B. Repeat information to ensure client understanding.
C. Listen to the client and her partner as they reflect upon the birth experience.
D. Demonstrate to the client how to perform a newborn bath
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care?

Answer Choices:

A. Place the client in a supine position for 30 min following the first dose of anesthetic solution.
B. Administer I .000 mL of dextrose 5% in water prior to the first dose of anesthetic solution.
C. Monitor the clients blood pressure every minute following the first dose of anesthetic solution.
D. Ensure the client has been NPO 4 hr prior to the treatment of the epidural and the first dose of anesthetic solution.
A nurse is teaching a client who is at 24 weeks of gestation regarding a I-hr glucose tolerance test. Which of the following statements should the nurse include in the teaching?

Answer Choices:

A. "You will need to drink the glucose solution 2 hours prior to the test:
B. "Limit your carbohydrate intake for 3 days prior to the test."
C. "A blood glucose of 130 to 140 is considered a positive screening result.
D. "You will need to fast for 12 hours prior to the test
From Exam
RN ATI Maternal Newborn Online-2019~Practice B with NGN

97 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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