All labor and delivery team members must be able to recognize the signs of a prolapsed cord and initiate appropriate emergency interventions to relieve pressure on the cord until emergency delivery, usually, a cesarean delivery, can be accomplished.

Prolonged cord compression (occlusion of blood flow to and from the fetus for longer than 5 minutes) leads to fetal hypoxia, usually resulting in central nervous system (CNS) damage or fetal death.

List 6 steps you would take to relieve pressure on the umbilical cord.

Please include the following steps

1. Perform hand hygiene before patient contact.
2. Introduce yourself to the mother and support person.
3. Verify the correct patient using two identifiers
4. Assess the presentation, position, and station of the fetus.
5. Determine if factors that increase the risk of a prolapsed umbilical cord are present.
6. Ensure that adult and neonatal resuscitation equipment is readily available.
7. Ensure that supplies and equipment are available and prepare for an emergency cesarean delivery.
8. Perform hand hygiene and don gloves

10.

Cells come in an amazing variety – single-cell organisms (like bacteria), cells of the immune system, the world’s largest cell, animal cells, plant cells, Natural Killer cells, cells with XXX chromosomes, and even cells that we could make a reality TV show with, like Cell Survivor: Livin’ On The Edge (like Archaeans ).  Pick a specific differentiated (liver cell, cytotoxic T-cell, neuron) or single-cell species (Yersinia pestis) and describe what the cell does.

 Describe the role of each of the four biomolecules in our cells. In a sentence or two apiece, describe the main roles of lipids, proteins, nucleic acids, and carbohydrates.

Discuss the enrolled nurse’s responsibilities of caring for a patient on return to the ward post-anesthetic.
Reference required.

Discuss the role of carbohydrates in energy production for exercise. Why is it the main energy source for exercise? (10pts) 4. Does the source of energy vary depending on the intensity of the exercise?