After rupture of membranes, the nurse sees the umbilical cord protruding from the vagina. What is the nurse’s priority action?

Question

Accepted Answer

B. Elevate the presenting part with a sterile gloved hand and call for help — Cord prolapse compresses fetal blood flow. The nurse should relieve pressure (elevate presenting part), call for immediate assistance, position the client to reduce compression, and prepare for emergent delivery.

Answer

A. Push the cord back into the vagina

Answer

C. Start oxytocin to speed delivery

Answer

D. Place the client supine with legs flat