The Nurse Is Caring for a Client Who Is in Active

question 12

Multiple Choice

The nurse is caring for a client who is in active labor and has just had an amniotomy.The nurse notes that the fetal heart rate has decreased from 140 bpm immediately prior to the amniotomy to 95 bpm.Upon vaginal examination,the nurse feels a portion of the umbilical cord in the vagina.Which is the nurse's next action in caring for this client?

• A)Carefully push the umbilical cord back into the vagina with a sterile gauze.
• B)Immediately place the client in reverse Trendelenburg and prepare to move the client to the operating room for a caesarean section.
• C)Assist the client to the knee-chest position and notify the healthcare provider.
• D)Place oxygen on the client at 2 L/min per nasal cannula and turn the client to the left side.

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Definitions:

Explicit Memory

A type of long-term memory that involves conscious recollection of specific facts and events.

Automatic Processing

Mental tasks that are performed with minimal effort or consciousness.

Effortful Processing

The encoding of information into memory with intentional effort and attention.

Attention

The cognitive process of selectively concentrating on one aspect of the environment while ignoring other things.