A nurse midwife assesses a client who is in her 35th week of gestation. After conducting abdominal inspection and palpation, the nurse midwife notes that the fetus is in the transverse lie. This finding is verified by a sonogram. Which of the following actions by the nurse midwife is the most appropriate before an external version?

Question

Quizplus · Accepted Answer

The most appropriate action by the nurse midwife before an external version is to administer a tocolytic agent. Tocolytics, such as tertbutaline, may be administered through the subcutaneous route to relax the uterus and to allow easier manipulation. External version is the manipulation of the fetus from an abnormal position to a good presentation. This is done after the 34th week of gestation. A non-stress test is ordered to determine fetal well-being. The blood pressure is monitored for vena cava compression. The nurse midwife ensures that the client had a RhoGAM during the 28th week.

A Nurse Midwife Assesses a Client Who Is in Her