Florida State Paramedic Practice Exam

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What should be done in case of a prolapsed cord?

Push the cord back into the canal
Gently insert hand and relieve pressure on the cord
Leave the cord alone
Immediately perform a cesarean section

The correct answer is: Gently insert hand and relieve pressure on the cord

In the case of a prolapsed umbilical cord, gently inserting a hand to relieve pressure on the cord is the most appropriate action. This approach aims to reduce the risk of cord compression, which can compromise blood flow and oxygenation to the fetus. By relieving pressure, the goal is to preserve fetal heart tones and overall fetal well-being until further intervention can take place, such as preparing for an expedited delivery. The other options do not align with the best practice for managing a prolapsed cord. Pushing the cord back into the birth canal can risk further injury or complications. Leaving the cord alone does not address the potential for cord compression and its adverse effects. While a cesarean section may be needed depending on the situation, it is not an immediate action to take when a prolapsed cord is identified. Instead, the priority should be to manage the situation cautiously and effectively until the delivery can be safely completed.