Question

A 28-year-old primigravida 38 weeks gestation is admitted into labor and delivery 3cm dilated, 100% effaced vertex with the head floating. The patient presses her call light stating that she felt a gush of fluid and felt something between her legs. The nurse assesses the patient and notes a prolapsed cord. Immediately the nurse reacted, and then called another nurse to assist with contacting the healthcare provider, and assist with prepping the patient and her support person for the next step. (Learning Objectives 12, 15)

Based on the information above, answer the following questions:

1. What did the nurse do to assist the client?
2. What and how did the nurse prep the client?

A 28-year-old primigravida 38 weeks gestation is admitted into labor and delivery 3cm dilated, 100% effaced vertex with the head floating. The patient presses her call light stating that she felt a gush of fluid and felt something between her legs. The nurse assesses the patient and notes a prolapsed cord. Immediately the nurse reacted, and then called another nurse to assist with contacting the healthcare provider, and assist with prepping the patient and her support person for the next step. (Learning Objectives 12, 15)

Based on the information above, answer the following questions:

1. What did the nurse do to assist the client?
2. What and how did the nurse prep the client?

Answer 1

This 28 year old primi gravida is on full term presenting with prolapsed cord. Prolpsed cord is an obstetric emergency. So nurse immediately called another nurse to call aa health care provider. &to prep for emergency caessarian surgery.

Nurse assisted her to lower the head of the bed and elevate the clients hips on a pillow, or to place the client in the knee chest position to minimize pressure from the cord.She also assessed cord pulsations frequently and also given physical and psychological support to the client.She also elevate the presenting prolapsed cord via digital vaginal finger method and also wrapped prolapsed cord gently with guaze soaked in sterile saline solution.