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NURSING FUNDAMENTALS HEALTH CARE EXAM WITH SOLUTIONS

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2023/2024 Written for academic year
Institution NURSING FUNDAMENTALS HEALTH CARE
Course NURSING FUNDAMENTALS HEALTH CARE
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NURSING FUNDAMENTALS HEALTH CARE EXAM WITH SOLUTIONS . A laboring client at –2 station has a spontaneous rupture of the membranes and a cordimmediately protrudes from the vagina. The highest priority is which of the following? a. Place gentle pressure upward on the fetal head b. Place the cord back into the vagina to keep it moist c. Begin oxygen by face mask at 8-10l/min d. Turn the client of her left sideANSWER: A RATIONALE: The nurse should place her hand on the fetal head and provide gentle upward pressure to relieve the compression on the cord. Doing so allows oxygen to continue flowing to the fetus. The cord should never be placed back into the vagina because doing so may further compress it. Administering oxygen is an appropriate measure but will not serve a useful purpose until the pressure is relieved on thecord enabling perfusion to the infant. Turning the client to her left side facilitates better perfusion to themother but until the compression on the cord is relieved the increased oxygen will not serve its purpose. Placing the client in a trendelenburg would be position changes to increase perfusion to then infant by relieving cord compression

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  • nursing fundamentals health care
  • nursing fundamentals health care exam with solutio
  • 1a laboring client at 2 station has a spontaneo
  • 2a postpartum client is being discharged part of

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