A pregnant woman's amniotic membranes rupture. Prolapsed cord is suspected. Which of the following interventions would be the top priority?
1. Place the woman in the knee-chest position.
2. Cover the cord in sterile gauze soaked in saline.
3. Prepare the woman for a cesarean birth.
4. Start oxygen by face mask.
1
1. Correct. The woman is assisted into a position such as a modified Sims', Trendelenburg, or knee-chest position in which gravity keeps the pressure of the presenting part off the cord.
2, 3, 4. Incorrect. These are all appropriate nursing interventions in the event of a prolapsed cord, but the intervention of top priority is placing the mother in a position to relieve cord compression.
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