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CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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The nurse is checking for cervical dilation of a patient who is in labor, when the nurse observes that the umbilical cord has prolapsed. The nurse’s initial action would be to:

Obtain the fetal heart rate
Cover the cord with sterile saline soaks
Position the patient on her side
Place the patient in Trendelenburg’s position

Explanation

Answer - D - The nurse’s initial action would be to place the patient in Trendelenburg’s position. Placing the patient in this position will prevent further prolapse and relieves pressure on the cord.

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CCNS Certified Clinical Nurse Specialist

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CCNS Certified Clinical Nurse Specialist

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