Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A client says she has a feeling that something is coming through her vagina. On examination, the nurse midwife notes that the umbilical cord is visible. Which of the following interventions is the least appropriate for the client?
  1. Assist the client in knee-chest position.
  2. Position the client in Trendelenburg position.
  3. Manually elevate the fetal head off the cord.
  4. Administer oxygen 2 to 3 L/min
Explanation
Answer: D - The client must be administered with oxygen at a rate of 10 L/min. The immediate goal of the nurse midwife is to relieve the cord pressure. Placing the client in the knee chest position or Trendelenburg position may help relieve the pressure. Manually elevating the fetal head off the cord is essential. Gentle support is applied until the fetus is delivered by cesarean section.
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