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Answer :
Final answer:
In an imminent birth scenario at the ED, a nurse should identify and prepare, review critical events, monitor the stages of childbirth (early cervical dilation, full dilation and expulsion of the newborn, and delivery of the placenta), and provide post-birth care like adjusting the newborn to the new environment.
Explanation:
When caring for a prenatal patient in the ED where birth is imminent, it's essential for the nurse to prioritize these four important actions:
- Identify and prepare: They must confirm the patient's identity and prepare themselves for the process outlining surgical site, procedure, equipment availability and sterility.
- Review critical events: Reviewing potential critical and unexpected steps, operation duration, and anticipated blood loss must be undertaken to prepare the team for any sudden changes in the process.
- Monitor the stages of childbirth: Nurses should monitor the stages of childbirth, which includes early cervical dilation, full dilation and expulsion of baby, and delivery of the placenta.
- Post-birth care: Afterbirth, the nursing staff should take prompt actions to adjust the newborn to the new environment, which includes cleaning and warming the infant, and beginning the lactation process with the mother.
These action steps ensure a smooth process during a labor situation, safeguarding the health of both the mother and the newborn.
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