OBGYN: Nursing Management of Labor and Birth at Risk exam solved 100%

OBGYN: Nursing Management of Labor and Birth at Risk exam solved 100% After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse immediately places the woman in which position? -Correct Answer-A) Supine B) Side-lying C) Sitting D) Knee-chest Ans: D Pressure on the cord needs to be relieved. Therefore, the nurse would position the woman in a modified Sims, Trendelenburg, or knee-chest position. Supine, side-lying, or sitting would not provide relief of cord compression. A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The nurse would assess the woman for which condition? -Correct Answer-A) A low-lying placenta B) Fetopelvic disproportion C) Contraction ring D) Uterine bleeding Ans: B The woman is experiencing dystocia most likely due to hypotonic uterine dysfunction and fetopelvic disproportion associated with a large fetus. A low-lying placenta, contraction ring, or uterine bleeding would not be associated with a change in labor pattern. The nurse would be alert for possible placental abruption during labor when assessment reveals which of the following? -Correct Answer-A) Macrosomia B) Gestation