After being in labor for several hours with no progress, the patient is diagnosed with cephalopelvic disproportion (CPD) and must have a cesarean section. The patient is being prepared for a cesarean delivery in the operating room. The doctor is present. The nurse knows that the last assessment the nurse should make just prior to the patient's being draped for surgery is:
A)Maternal temperature.
B)Maternal urine output.
C)Vaginal exam.
D)Fetal heart tones.

Question

Quizplus · Accepted Answer

The last assessment the nurse should make just prior to the patient's being draped for surgery is fetal heart tones. This ensures that the baby is still doing well and has not experienced any distress during the preparation process. Maternal temperature and urine output are important assessments, but they can be done earlier in the preparation process. Vaginal exam is contraindicated at this point as it can introduce bacteria and increase risk of infection.

After Being in Labor for Several Hours with No Progress