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A Pregnant Client Admitted to the Labor Room Arrived with a Fetal

Question 58

Multiple Choice

A pregnant client admitted to the labor room arrived with a fetal heart rate (FHR) of 94 beats/min and the umbilical cord protruding from the vagina. The client states that her "water broke" before coming to the hospital. The most appropriate nursing action would be to:


A) Sit the client in a high Fowler's position.
B) Call the pharmacy for a tocolytic medication.
C) Get intravenous (IV) therapy equipment and solution from the storage area.
D) Wrap the cord loosely in a sterile towel soaked with warm, sterile normal saline.

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