During labour, the umbilical cord is visible at the vaginal opening and the fetal heart rate suddenly slows. Which action should the nurse take immediately?
Correct answer: B. Lift the presenting part with a gloved hand
- A. Push the cord back into the vagina
- B. Lift the presenting part with a gloved hand
- C. Ask the woman to bear down strongly
- D. Apply fundal pressure to speed the birth
Explanation
The presenting part may compress a prolapsed cord and reduce fetal oxygenation. A gloved hand should elevate the presenting part while help is called and emergency birth is prepared; the cord should not be pushed back.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
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50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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