بعد تمزق الأغشية رأت الممرضة الحبل السري خارجاً من المهبل. ما أول إجراء؟

After membranes rupture the nurse sees the umbilical cord protruding from the vagina. What is the first action?

1. Lift the presenting part off the cord; call for help
2. Cover the cord with a dry towel and wait
3. Ask the mother to walk quickly to delivery
4. Try to push the cord gently back inside

Answer: A) Lift the presenting part off the cord; call for help. Cord prolapse is an emergency: relieve pressure on the cord manually and use knee-chest position; never replace the cord, and cover any exposed cord with saline-moistened gauze.