Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
A client in the second stage of labor with umbilical cord protruding from the vagina.Which action should the nurse perform first?
Correct answer
B
Rationale
Umbilical cord prolapse (B) is an emergency requiring immediate elevation of the presenting part to relieve cord pressure and prevent fetal hypoxia. It is not expected (A), pushing (C) worsens the situation, and lateral positioning (D) is insufficient.