Which condition increases the risk of occult umbilical cord prolapse?
Transverse lie
Macrosomia
Oligohydramnios
Placenta previa
The Correct Answer is C
This is a condition where there is too little amniotic fluid around the fetus. This increases the risk of umbilical cord prolapse because the cord can easily slip past the presenting part of the fetus and into the cervix or vagina.
This can cause fetal hypoxia and distress due to compression or occlusion of the cord.
Choice A. Transverse lie is wrong because this is a condition where the fetus lies horizontally across the uterus. This can increase the risk of cord prolapse if the membranes rupture and the cord descends alongside or before the fetus.
Choice B. Macrosomia is wrong because this is a condition where the fetus is larger than average. This can decrease the risk of cord prolapse because the presenting part of the fetus is more likely to fill the pelvis and prevent the cord from slipping past.
Choice D. Placenta previa is wrong because this is a condition where the placenta covers part or all of the cervix. This can increase the risk of bleeding during labor, but not necessarily cord prolapse.
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Correct Answer is C
Explanation
The correct answer is choice C. Stop it completely.This is because oxytocin infusion can cause uterine hyperstimulation, which can worsen the cord compression and compromise fetal oxygenation.Stopping the oxytocin infusion can reduce the frequency and intensity of contractions and relieve pressure on the cord.
Choice A is wrong because increasing the oxytocin infusion rate can increase the risk of cord prolapse and fetal hypoxia.Choice B is wrong because decreasing the oxytocin infusion rate may not be enough to prevent cord compression and fetal distress.Choice D is wrong because maintaining the oxytocin infusion rate can prolong the labor and increase the chance of fetal compromise.
Correct Answer is C
Explanation
The correct answer is choice C. Apply pressure to presenting part with hand.
This is because cord prolapse is an emergency situation that requires immediate delivery to save the fetus.Applying pressure to the presenting part with hand can help relieve the compression of the cord and maintain fetal oxygenation until delivery.
Choice A is wrong because stopping oxytocin infusion will not prevent cord compression or fetal hypoxia.Oxytocin may be stopped after applying pressure to the presenting part and notifying the physician.
Choice B is wrong because placing the patient in knee-chest position may not be effective in relieving cord compression.
It may also be uncomfortable and difficult for the patient to maintain.A better position would be Trendelenburg or modified Sims.
Choice D is wrong because administering oxygen via non-rebreather mask is not a priority action.Oxygen may be given after applying pressure to the presenting part and notifying the physician, but it will not improve fetal oxygenation if the cord is compressed.
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