Question

A client's membranes have just ruptured. Her fetus is presenting breech. Which action should the nurse do immediately to rule out prolapse of the umbilical cord in this client?Administer oxygen at 10 L/min by face mask. Place the woman in Trendelenburg position. Assess fetal heart sounds. Administer amnioinfusion.

Answer 1

Answer:

Assess fetal heart sounds

Explanation:

The client's membrane had just ruptured and her fetus is breeching, its a condition in which the bottom portion of fetus comes out first instead of his head. So, in that condition the prolapse of umbilical cord could occur, it is a condition in which uterus is not supported by the pelvic muscles and ligaments and thus slips towards vagina. In that condition continuously check fetus heart rate and conditions and prefer cesarean instead of normal delivery.