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Title: A woman is about to undergo an external version. What action by the nurse takes priority? Post by: tjrwnghks3 on Feb 6, 2018 A woman is about to undergo an external version. What action by the nurse takes priority?
A. Determine Rh status; give Rh immune globulin if needed. B. Explain the procedure to the woman and obtain consent. C. Offer emotional support to both the woman and her partner. D. Prepare to administer oxytocin (Pitocin) as per protocol. Title: A woman is about to undergo an external version. What action by the nurse takes priority? Post by: estebanukes on Feb 6, 2018 ANS: A
Because the version can cause feto-maternal bleeding, women who are Rh-negative should receive Rh immune globulin (RhoGAM). Offering emotional support is always important, but does not take priority over keeping the patient safe. The physician is responsible for explaining the procedure. Because uterine relaxation is important for a successful version, tocolytic medications may be given (not medications that increase uterine tone). |