Nur404w Mcphs Obstetrics Maternity Proctored Exam( Examplify)
A nurse rushes to the room to assess a client due to a noted prolonged fetal heart rate deceleration, HR 118 bpm on the monitor. Upon entering, the client reports a feeling of something weird between her legs. Upon assessment, an umbilical cord prolapse is noted. Team members are alerted to the emergency and the nurse's need for assistance. Education is provided to the client at this time explaining the complication and nursing interventions. The client becomes tearful but verbalizes understanding. The nurse reviews the electronic health record and documents care in the nursing progress notes. Which actions by the nurse are implemented to enhance safety for the laboring client and fetus with a prolapsed cord? Select all that apply.
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