Difficulty: Medium
Average Score: 69%
Simulated
The nurse is caring for a client in labor and discovers the client has a completely prolapsed umbilical cord. Which of the following actions should the nurse take?
Correct answer
C
Rationale
A prolapsed umbilical cord requires immediate action to relieve cord compression. Positioning the client knee-to-chest (C) lifts the fetal presenting part off the cord. Pushing (A) worsens compression. Nasal cannula oxygen (B) is inadequate; a face mask is preferred. Oxytocin (D) increases contractions, worsening the situation.