Signs and Symptoms:
- Umbilical cord is visible or palpable
- Mother has feeling that something is coming through the vagina
- Fetal heart rate is irregular and slow
- Variable deceleration or bradycardia after rupture of the membranes
- Violent fetal activity may occur and then cease if fetal hypoxia is severe
Nursing Interventions:
- Relieve umbilical cord immediately
- Reposition mother: turn her side to side or elevate her hips to shift the fetal presenting part toward her diaphragm
- Apply finger pressure with a sterile glove hand to elevate fetal presenting part that is lying on the cord
- Do not attempt to push the cord into the uterus
- Assess fetus for hypoxia
- Prepare for emergency cesarean birth
- Administer oxygen by face mask to the mother as prescribed
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