What is the primary nursing action when a laboring person experiences a ruptured uterus?

Correct Answer: C

Rationale: The correct answer is C: apply oxygen via mask. This is the primary nursing action for a ruptured uterus because it helps improve oxygenation to the laboring person and the fetus. Ruptured uterus can lead to a significant decrease in oxygen supply, so providing oxygen is crucial. Incorrect choices: A: preparing for an emergency cesarean section is important but not the primary action in this situation. B: providing pain relief is important, but ensuring oxygenation is a higher priority. D: applying pressure to the abdomen is not recommended as it can worsen the condition.

Correct Answer: C

Rationale: The correct answer is C: apply petroleum jelly to the skin. Petroleum jelly acts as a barrier, protecting the baby's skin from moisture and irritants in the diaper. It helps maintain the skin's natural moisture and prevents diaper rash. Rationale: 1. Petroleum jelly creates a protective barrier on the skin, preventing direct contact with moisture and irritants. 2. It helps to keep the skin moisturized, reducing the risk of irritation. 3. Petroleum jelly is safe and gentle on the baby's skin. 4. It is particularly effective for preventing diaper rash compared to other options. Summary: A: Frequent diaper changes are important but may not provide enough protection against moisture and irritants. B: Barrier creams can be effective, but petroleum jelly is a more commonly recommended option. D: Changing diapers frequently is essential, but applying petroleum jelly as an additional protective measure is more effective in preventing diaper rash.

Correct Answer: A

Rationale: The correct answer is A: monitor vital signs. During the first stage of labor, it is crucial to monitor the laboring person's vital signs to assess for any signs of distress or complications. This includes monitoring blood pressure, pulse rate, respiratory rate, and temperature. By closely monitoring vital signs, the nurse can identify any potential issues early on and take appropriate actions to ensure the safety and well-being of both the laboring person and the baby. Performing a vaginal exam (B) or cervical check (C) may be necessary later in labor but is not the priority assessment during the first stage. Monitoring the fetal heart rate (D) is also important but not the priority over monitoring the laboring person's vital signs.

Correct Answer: B

Rationale: The correct answer is B, to increase fetal monitoring. This is crucial to assess the fetal well-being and identify any potential distress or complications early on. Monitoring allows for timely interventions to be implemented to optimize outcomes. Increasing oxygen flow (A) may be necessary in some cases, but it is not the initial priority. Administering an analgesic (C) may help with pain management but does not address the fetal heart rate patterns. Increasing fluid intake (D) is important for hydration but is not directly related to managing fetal heart rate patterns.

Correct Answer: B

Rationale: The correct answer is B: administer oxygen. Fetal bradycardia indicates reduced oxygen supply to the fetus, so providing oxygen to the laboring person can help increase oxygen levels for the fetus. This intervention is crucial to prevent further complications. Increasing fluid intake (A) may not address the immediate issue of fetal distress. Monitoring fetal heart rate continuously (C) is important but not the priority when immediate intervention is needed. Placing the laboring person on their left side (D) can help optimize fetal oxygenation, but administering oxygen is more direct and effective in this situation.