Difficulty: Medium
Average Score: 89%
Simulated
Passage / Scenario
client, first stage of labor, umbilical cord protrudingA 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
B
Rationale
Relieving cord compression by positioning and elevating the presenting part is the priority to prevent fetal hypoxia.