Paramedic National Registry Practice

What is the appropriate treatment for a prolapsed cord during childbirth?

1. Cover with sterile gauze

2. Insert 2 fingers to relieve pressure from the cord

3. Apply constant pressure on the cord

4. Elevate the mother's legs

The correct answer is: Insert 2 fingers to relieve pressure from the cord

The appropriate treatment for a prolapsed cord during childbirth involves relieving pressure from the cord. When the umbilical cord slips ahead of the presenting part of the fetus, it can become compressed and result in an interruption of blood flow and oxygen to the fetus. By inserting two fingers into the vaginal canal, a healthcare provider can push the presenting part of the fetus away from the cord, which helps alleviate that pressure and restore blood flow, improving fetal oxygenation. Managing a prolapsed cord effectively is crucial because prolonged compression can lead to serious complications, including fetal distress or even fetal death. While covering the cord with sterile gauze can help keep it moist and protected, it does not address the primary issue of pressure. Similarly, applying constant pressure on the cord would be counterproductive, and elevating the mother's legs, while sometimes beneficial in other scenarios, does not directly address the urgency of relieving the pressure on the cord during a prolapse.