A 37 weeks pregnant woman presents with labor-like pain. She has mild uterine contractions (2-3 contractions in 10 minutes). On abdominal palpation, the nurse notes the fetus lie is transverse. The nurse reported to the doctor who confirm the malpresentation via an ultrasound.

A 37 weeks pregnant woman presents with labor-like pain. She has mild uterine contractions (2-3 contractions in 10 minutes). On abdominal palpation, the nurse notes the fetus lie is transverse. The nurse reported to the doctor who confirm the malpresentation via an ultrasound.

The immediate nursing action is to:
A . Provide oral fluids
B . Offer the woman pain relief
C . Prepare for cesarean section
D . Monitor the progress of labor

View Answer

Answer: C

Explanation:

Transverse Lie and Delivery:

A transverse lie means the fetus is positioned horizontally in the uterus, making vaginal delivery impossible and risky.

In such cases, a cesarean section is usually required to safely deliver the baby.

Immediate Nursing Action:

Oral Fluids and Pain Relief: While important, these are not the immediate priorities in this scenario.

Monitoring Labor: This is less relevant due to the malpresentation.

Preparing for Cesarean Section: Given the transverse lie, this is the immediate and appropriate action to ensure the safety of both mother and baby.

Reference: American College of Obstetricians and Gynecologists (ACOG)

Mayo Clinic Guidelines on Labor and Delivery