Question

The nurse is preparing for an emergency cesarean birth for a patient who has a prolapsed cord visible at the vulva. Which interventions would the nurse take for this surgical procedure?

1) Administer oxygen to the patient
2) Place the patient in Trendelenburg position
3) Prepare for immediate delivery
4) Insert a urinary catheter
5) Administer tocolytic medication

Answer 1

For an emergency cesarean birth with a prolapsed cord visible at the vulva, the nurse should administer oxygen, place the patient in Trendelenburg position, prepare for immediate delivery, insert a urinary catheter, and not administer tocolytic medication.

Step-by-step explanation:

For an emergency cesarean birth with a visible prolapsed cord at the vulva, the nurse would take the following interventions:

1. Administer oxygen to the patient: This is important to ensure that the patient and baby receive adequate oxygen during the procedure.
2. Place the patient in Trendelenburg position: This position helps to relieve pressure on the cord and improves blood flow to the baby.
3. Prepare for immediate delivery: A cesarean birth is necessary to deliver the baby quickly and safely.
4. Insert a urinary catheter: This is usually done prior to surgery to ensure proper bladder drainage.
5. Do not administer tocolytic medication: Tocolytic medication is used to stop or slow down labor, but in the case of a prolapsed cord, immediate delivery is necessary to prevent complications.