OB: AQ Labor Complications Final Exam 2024.

OB: AQ Labor Complications Final Exam 2024.The nurse is caring for a client who is admitted to the birthing unit with a diagnosis of abruptio placentae. Which complication associated with a placental abruption should the nurse carefully monitor this client for? A) Cerebral hemorrhage B) Pulmonary edema C) Impending seizures D) Hypovolemic shock - ANSWER D) Hypovolemic shock With abruptio placentae, uterine bleeding can result in massive internal hemorrhage, causing hypovolemic shock. A cerebral hemorrhage may occur with a dangerously high blood pressure; there is no information indicating the presence of a dangerously high blood pressure. Pulmonary edema may occur with severe preeclampsia or heart disease, and seizures are associated with severe preeclampsia; there is no information indicating the presence of these conditions. A client's membranes rupture, and the nurse immediately detects the presence of a prolapsed umbilical cord. The nurse alerts another nurse, who calls the primary healthcare provider. Place the following nursing interventions in the order in which they should be performed. A) Checking the fetal heart rate B) Administering oxygen by facemask C) Moving the presenting part off the cord D) Placing the client in the Trendelenburg position - ANSWER C) Moving the presenting part off the cord D) Placing the client in the Trendelenburg position B) Administering oxygen by facemask A) Checking the fetal heart rate A client with a history of a congenital heart defect is admitted to the birthing unit in early labor. Which position does the nurse encourage the client to assume? A) Supine B) Semi-Fowler C) Trendelenburg