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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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cristiik cristiik
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6 years ago
A woman with polyhydramnios was admitted to a labor-delivery-recovery-postpartum (LDRP) suite. Her membranes rupture, the fluid is clear and odorless, but the fetal heart monitor indicates bradycardia and variable decelerations.
 
  What action should be taken next? a. Perform a vaginal examination.
  b. Perform Leopold's maneuvers.
  c. Apply warm saline soaks to the vagina.
  d. Place the woman in high-Fowler's position.
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#1
6 years ago
A
A prolapsed cord may not be visible but may be palpated on vaginal examination. The priority is to relieve pressure on the umbilical cord. Leopold's maneuvers are not an appropriate action at this time. Moist towels retard cooling and drying of the prolapsed cord, but it is hoped the fetus will be delivered before this occurs. The high-Fowler's position will increase cord compression and decrease fetal oxygenation.
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