Practice Question
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina.
Answer Choices:
Correct Answer:
Apply internal upward pressure to the presenting part using two gloved fingers.
Rationale:
🔴 A prolapsed cord is an obstetric emergency that can lead to fetal hypoxia due to cord compression.
🔴 The immediate nursing priority is to relieve pressure on the cord by applying upward pressure with sterile-gloved fingers.
🔴 Simultaneously, help should be sought and preparation for an emergency delivery (often cesarean) should begin.
🔴 Additional measures such as positioning and oxygen may follow, but relieving pressure takes precedence.
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This question is from RN ATI Maternal Newborn Online-2019~Practice B with NGN which contains 97 questions.
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From Exam
RN ATI Maternal Newborn Online-2019~Practice B with NGN
97 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4