Difficulty: Medium
Average Score: 88%
Simulated
Passage / Scenario
A client who is in the first stage of labor with umbilical cord protruding from the vaginaA nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?
Correct answer
D
Rationale
Placing the client in a knee-chest or Trendelenburg position reduces pressure on the cord, preventing fetal hypoxia by improving blood flow.