Question

A nurse is performing a vaginal exam on a client in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?

A) Place the client in a knee-chest position.
B) Apply gentle pressure on the presenting part.
C) Push the umbilical cord back into the vagina.
D) Administer oxygen to the mother.

Answer 1

In this situation, the nurse should place the client in a knee-chest position.

Step-by-step explanation:

When a nurse observes the umbilical cord protruding from the vagina during a vaginal exam on a client in labor, the nurse should take the following action:

A) Place the client in a knee-chest position.

This position helps to relieve pressure on the umbilical cord and reduces the risk of cord compression, which can restrict blood flow to the baby