can anybody answer this?

[wolf_funk]

can anybody answer this question?

An emergancy cesaean delivery is planning for a pregnant client who begins to experince excessive lady partsl bleeding soon after admission. When developing this clients plan of care which of the following would be the priority?

1) shaving abd. & perneal area

2) asking family to wait in the waiting area

3) assess the status of the fetus

4) ensuring availability of replacement blood

[bonjon]

can anybody answer this question?

An emergancy cesaean delivery is planning for a pregnant client who begins to experince excessive lady partsl bleeding soon after admission. When developing this clients plan of care which of the following would be the priority?

1) shaving abd. & perneal area

2) asking family to wait in the waiting area

3) assess the status of the fetus

4) ensuring availability of replacement blood

While the doctor is assessing the status of the fetus, the nurses can be checking on blood availability. If the staff is on the same page, more than 1 thing can be done @ a time.

[DutchgirlRN, ASN, RN]

can anybody answer this question?

An emergancy cesaean delivery is planning for a pregnant client who begins to experince excessive lady partsl bleeding soon after admission. When developing this clients plan of care which of the following would be the priority?

1) shaving abd. & perneal area

2) asking family to wait in the waiting area

3) assess the status of the fetus

4) ensuring availability of replacement blood

Definately #3. Assess the status of the fetus. The patient is beginning to experience excessive bleeding but it won't be known until after the section if the patient will need to be transfused. Shortly after admission would clue me that the doctor is not necessarily there yet. Blood can be ordered by the unit secretary during the section if the doctor even orders it. Numbers 1 & 2 are distractor answers. The fetus is definately the priority and the correct answer.

[babynurselsa, RN]

Definitely Number 3.

[*PICURN*]

#3

[Spidey's mom, ADN, BSN, RN]

#3 - the nurse is the one who hooks the patient up to the monitor to check on the baby and then passes this info on to the doctor.

steph

[michw2]

always due that first

[wolf_funk]

shold u not lokk after the mother first, cause if the mother dies from blood loss the baby can't survive without the mother?

[LPN01112005]

Assess is the key word. We were taught in our NCLEX prep class that there are certain key words to look for in your stem and answer choices and assess is one of them. So, I'd go with assess the fetus.

[enfermeraSG]

shold u not lokk after the mother first, cause if the mother dies from blood loss the baby can't survive without the mother?

Like others have said, the blood could be on the way while baby is being delivered via C section (if fetal assessment and blood loss shows need to deliver baby immediately). By the time the blood makes it to the bedside, the baby would be out and Mom could be transfused. We've had many a patient walk in to our unit bleeding profusely, we immediately check fetal status while starting IV's etc, and simultaneously alerting our OR staff for possible stat C section. Literally minutes after patient's arrival we have safely delivered baby, and soon after were transfusing Mom if need be. By the way, transfusing can be done in the OR in the middle of C section sometimes. That's based on the judgement of all docs on board by the enormous blood loss we can see without lab results! SG

[akcarmean, LPN]

I have to agree with all the other post # 3 first

[icu-annie]

can anybody answer this question?

An emergancy cesaean delivery is planning for a pregnant client who begins to experince excessive lady partsl bleeding soon after admission. When developing this clients plan of care which of the following would be the priority?

1) shaving abd. & perneal area

2) asking family to wait in the waiting area

3) assess the status of the fetus

4) ensuring availability of replacement blood

the answer is #3.