The nurse is caring for a client who is in active labor and has just had an amniotomy.The nurse notes that the fetal heart rate has decreased from 140 bpm immediately prior to the amniotomy to 95 bpm.Upon vaginal examination,the nurse feels a portion of the umbilical cord in the vagina.Which is the nurse's next action in caring for this client?
A)Carefully push the umbilical cord back into the vagina with a sterile gauze.
B)Immediately place the client in reverse Trendelenburg and prepare to move the client to the operating room for a caesarean section.
C)Assist the client to the knee-chest position and notify the healthcare provider.
D)Place oxygen on the client at 2 L/min per nasal cannula and turn the client to the left side.

Question

Quizplus · Accepted Answer

C) Assisting the client to the knee-chest position and notifying the healthcare provider is the correct action. This position helps relieve pressure on the umbilical cord, potentially improving fetal oxygenation and circulation until further medical intervention can be provided.

The Nurse Is Caring for a Client Who Is in Active