What is really a priority?

Nursing Students Student Assist

Published

I got two conflicting NCLEX questions.

According to Kaplan, a nurse should attend to the patient in the most advanced labor first.

According to NSCBN course, a nurse should attend to the patient in a least advanced labor (early stage) because her membranes may rupture any time and could result in cord prolapse. :uhoh3:

I hate these questionnaires, they all have different opinions, and all I know now is that everything is right and wrong at the same time. :madface:

Specializes in Emergency.

Without going into OB specifics, I prioritize this way:

1) is the pt in danger of serious injury and/or death if I don't do something right NOW.

2) airway

3) breathing

4) circulation

5) everything else.

Yes, I know I tend to think emergent.

Without going into OB specifics, I prioritize this way:

1) is the pt in danger of serious injury and/or death if I don't do something right NOW.

2) airway

3) breathing

4) circulation

5) everything else.

Yes, I know I tend to think emergent.

I don't know which is more likely to happen - prolapsed cord or serious labor complications. I don't know of any statistics that would say which happens more often, that's why I'm so confused.

In my opinion and experience, a cord prolapse isn't very common with a spontaneous rupture, particularly of a woman who is advanced enough in labor to warrent admission to the unit.

A baby popping out of a mother in advanced labor, though, happens dang near every time, and sometimes very precipitously!

My money's on attending to the pt in the most advanced labor first.

Specializes in Gerontological, cardiac, med-surg, peds.
In my opinion and experience, a cord prolapse isn't very common with a spontaneous rupture, particularly of a woman who is advanced enough in labor to warrent admission to the unit.

A baby popping out of a mother in advanced labor, though, happens dang near every time, and sometimes very precipitously!

My money's on attending to the pt in the most advanced labor first.

Most birthing facilities agree! When a woman is in advanced labor and ready to deliver, the care becomes one on one. In early labor, the care is one: two.

+ Add a Comment