Difficulty: Medium
Average Score: 95%
Simulated
Passage / Scenario
Client at 38 weeks of gestation with spontaneous rupture of membranes and palpable umbilical cordA nurse is admitting a client who is at 38 weeks of gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take?
Correct answer
D
Rationale
Exerting continuous upward pressure on the presenting part relieves pressure on a prolapsed umbilical cord, improving fetal oxygenation until emergency delivery can be performed.