Which factor should alert the nurse to the potential for a prolapsed umbilical cord?
a. Oligohydramnios
b. Pregnancy at 38 weeks of gestation
c. Presenting part at a station of –3
d. Meconium-stained amniotic fluid
C
Because the fetal presenting part is positioned high in the pelvis and is not well applied to the cervix, a prolapsed cord could occur if the membranes rupture.
Hydramnios puts the woman at high risk for a prolapsed umbilical cord.
A very small fetus, normally preterm, puts the woman at risk for a prolapsed umbilical cord.
Meconium-stained amniotic fluid shows that the fetus already has been compromised, but it does not increase the chance of a prolapsed cord.
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