The first action that should be taken when the umbilical cord prolapses is to:
a. Administer oxygen by face mask at 8 to 10 L/minute.
b. Have the woman get on her hands and knees.
c. Prepare for a rapid vaginal delivery or cesarean.
d. Position the woman so that her hips are higher than her head.
ANS: D
When the cord prolapses, the fetus is deprived of oxygen. Positioning the woman in a knee-chest or Trendelenburg position, or side-lying with hips elevated, is intended to shift the fetus off of the cord, which relieves some pressure and restores circulation to the fetus. Oxygen may then be administered, and preparations for a rapid vaginal delivery or cesarean birth may be done.
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