LABOR UNIT STUDY QUESTION AND ANSWER.

A 27years old female gravida 1 Para 0 is brought into labor unit accompanied by her husband. She is in active labor. After the abdominal palpation and examination of her vagina the doctor confirmed the fetus to be in breech position. In one hour the membranes ruptured spontaneously. An assessment by the nurse reveals a glistening white cord protruding from the vagina.Which of the following interventions by the nurse should be the highest priority?.

A.Push the glistening white cord back into the vagina.

B.Provide airway, breathing and circulation.

C.Apply manual pressure to the presenting part and have the patient assume a knee – chest position.

D.None of the above is correct.

Correct answer is C.

A,B and D are wrong

Rationale: This position relieves pressure on the cord, and patient can also be placed in a trendelenburg position until cesarean delivery is done.