The nurse is caring for a client in the first stage of labor and observes that a segment of the umbilical cord is visible in the vaginal opening after rupture of the client’s amniotic membranes. Which of the following actions should the nurse take? 1. Instruct the client to lie on her left side. 2. Attempt to place the umbilical cord back into the uterus. 3. Assist the client into a knee-chest position. 4. Administer an intravenous tocolytic agent.
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The umbilical cord has slipped ahead of the baby into the birth canal, which can cut off the baby's blood supply. Show more…
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