Complications and outcomes
Complications and outcomes ( 5 Questions)
A nurse is assisting with the delivery of a client who has a prolapsed umbilical cord.
Which of the following interventions should the nurse perform to relieve cord compression until delivery?
Elevate the presenting part with a sterile gloved hand. This intervention helps to relieve cord compression until delivery by preventing the fetus from pushing down on the cord . The umbilical cord is the lifeline of the fetus and any compression can cause fetal hypoxemia and distress .
Pushing the cord back into the vagina with gentle pressure can cause more damage to the cord and increase the risk of infection .
Clamping and cutting the cord as quickly as possible will cut off the fetal blood supply and oxygenation .
Wrapping the cord loosely around the fetal neck can cause strangulation and compromise fetal circulation .
The correct answer is choice A. Elevate the presenting part with a sterile gloved hand. This intervention helps to relieve cord compression until delivery by preventing the fetus from pushing down on the cord . The umbilical cord is the lifeline of the fetus and any compression can cause fetal hypoxemia and distress .
Choice B is wrong because pushing the cord back into the vagina with gentle pressure can cause more damage to the cord and increase the risk of infection .
Choice C is wrong because clamping and cutting the cord as quickly as possible will cut off the fetal blood supply and oxygenation .
Choice D is wrong because wrapping the cord loosely around the fetal neck can cause strangulation and compromise fetal circulation .