What should a nurse do for prolapse of the umbilical cord?
The client with a prolapsed cord should be treated by elevating the hips and covering the cord with a moist, sterile saline gauze. The nurse should use her fingers to push up on the presenting part until a cesarean section can be performed. Answers A, B, and D are incorrect.
What other actions should be taken once the umbilical cord prolapse is recognized?
Once UCP is diagnosed, the fetal presenting part should be manually elevated off the cord, the patient placed in knee-chest or steep Trendelenburg position, and preparations made for cesarean delivery, unless vaginal delivery is imminent.
What is the main concern with a prolapsed cord?
The primary concern with umbilical cord prolapse is inadequate blood supply, and thus oxygen, to the baby if the cord becomes compressed.
Can cord prolapse happen without water breaking?
The cord can then come through the open cervix (entrance of the womb). It usually happens during labour but can occur when the waters break before labour starts. It is important to remember that: cord prolapse is uncommon, occurring in between 1 in 200 and 1 in 1000 births.
What causes a prolapsed umbilical cord?
What causes cord prolapse? The most common cause of cord prolapse is premature rupture of the membranes, which is when a mom’s water breaks before she’s actually in labor and her baby’s head has begun to “engage,” or settle into, the birth canal.
What increases risk of prolapsed umbilical cord?
Conclusion: Abnormal fetal presentation, multiparity, low birth weight, prematurity, polyhydramnios, and spontaneous rupture of membranes, in particular with high Bishop scores, are risk factors for umbilical cord prolapse.
How to care after umbilical cord falls off?
– Keep it clean. If the stump gets dirty, dab it gently with a wet washcloth and then pat the area with a dry cloth. – Air the stump out. Help the base dry by regularly exposing it to air. – Stick to sponge baths. – Diaper delicately. – Change diapers frequently. – Dress delicately too. – Resist touching or pulling.
What causes low blood flow through umbilical cord?
Umbilical cord compression. Umbilical cord compression occurs when pressure prevents the flow of oxygenated blood through the umbilical cord.
What is the risk in a prolapsed umbilical cord presentation?
Umbilical cord prolapse is an uncommon but potentially fatal obstetric emergency. When this occurs during labor or delivery the prolapsed cord is compressed between the fetal presenting part and the cervix. This can result in a loss of oxygen to the fetus, and may even result in a stillbirth.
What are the chances of umbilical cord strangulation?
what are the chances of umbilical cord strangulation? A nuchal cord is a complication that occurs when the umbilical cord wraps around the baby’s neck one or more times This is common and occurs in about 15 to 35 percent of pregnancies.