For the following answers, please use complete sentences, citations, and references in APA (5 points):
1. How does an umbilical cord prolapse occur? What are the visible signs an RN or OB/GYN would notice? (10 Points)
An umbilical cord prolapse occurs when the cord falls or is washed down through the cervix into the vagina and becomes trapped between the presenting part and the maternal pelvis (Davidson, London, & Ladewig, 2012, p. 717).
The only visible sign of a cord prolapse is the presence of the cord at the vagina, however a cord prolapse may still occur with no outward physical signs. For instance, when an occult cord prolapse occurs, it is visible or palpable ("Prolapsed Cord. Pregnancy complications from prolapsed cord. | Patient," n.d.) The only way to be sure is through a series of assessments; Continuous fetal heart monitoring (observing for variable decelerations, …show more content…
What is Trendelenburg position (describe), how do you put a patient in this position, and what is its purpose in this intervention? (15 Points)
The Trendelenburg position is when the bed/table that the patient is lying on is positioned in such a way that the feet are above the head. A patient can be positioned to Trendelenburg by adjusting the angle of the bed 15-30 degrees, or by having the patient bring her knees up to her chest. The purpose of this intervention in a cord prolapse emergency is that the position takes advantage of gravity in releasing pressure from the cord.
4. You are at the nurses’ station when you notice on Mrs. Hernandez’s fetal monitor severe decelerations and fetal bradycardia. You enter Mrs. Hernandez room, what are the next steps you would take? In numerical order, list the steps you would take as an RN to assist Mrs. Hernandez for a safe delivery. You must include WHO will do each step. Be specific. (20 Points)
1. Introduce myself to the patient.
2. Identify the patient using name and date of birth.
3. Identify if the patient has any
1. How does an umbilical cord prolapse occur? What are the visible signs an RN or OB/GYN would notice? (10 Points)
An umbilical cord prolapse occurs when the cord falls or is washed down through the cervix into the vagina and becomes trapped between the presenting part and the maternal pelvis (Davidson, London, & Ladewig, 2012, p. 717).
The only visible sign of a cord prolapse is the presence of the cord at the vagina, however a cord prolapse may still occur with no outward physical signs. For instance, when an occult cord prolapse occurs, it is visible or palpable ("Prolapsed Cord. Pregnancy complications from prolapsed cord. | Patient," n.d.) The only way to be sure is through a series of assessments; Continuous fetal heart monitoring (observing for variable decelerations, …show more content…
What is Trendelenburg position (describe), how do you put a patient in this position, and what is its purpose in this intervention? (15 Points)
The Trendelenburg position is when the bed/table that the patient is lying on is positioned in such a way that the feet are above the head. A patient can be positioned to Trendelenburg by adjusting the angle of the bed 15-30 degrees, or by having the patient bring her knees up to her chest. The purpose of this intervention in a cord prolapse emergency is that the position takes advantage of gravity in releasing pressure from the cord.
4. You are at the nurses’ station when you notice on Mrs. Hernandez’s fetal monitor severe decelerations and fetal bradycardia. You enter Mrs. Hernandez room, what are the next steps you would take? In numerical order, list the steps you would take as an RN to assist Mrs. Hernandez for a safe delivery. You must include WHO will do each step. Be specific. (20 Points)
1. Introduce myself to the patient.
2. Identify the patient using name and date of birth.
3. Identify if the patient has any