Difficulty: Medium
Average Score: 87%
Simulated
Passage / Scenario
A woman in active labor with spontaneous rupture of membranes, variable deceleration patterns, umbilical cord protruding from the vagina.A woman is in active labor. On spontaneous rupture of her membranes, the nurse caring for this woman notices variable deceleration patterns during evaluation of the monitor tracing. When preparing to perform a vaginal examination, the nurse observes a small section of the umbilical cord protruding from the vagina. What should the nurse do next?
Correct answer
B
Rationale
Relieving cord compression by holding the presenting part off the cord is critical to restore fetal oxygenation and prevent distress.