A client's membranes ruptured spontaneously while the nurse was at the bedside. Which of the following factors make the client at increased risk for cord prolapse?
Explanation & Rationale
Rationale: A. Small Fetus: A small fetus does not fully fill the pelvis, leaving room for the cord to slip past the presenting part. B. Breech presentation: Breech or transverse lies leave space in the pelvis compared to vertex cephalic presentation, making prolapse more likely. C. Cephalic presentation: In cephalic (vertex, head-down) presentation, the fetal head usually fills the pelvis, decreasing the risk of prolapse. D. Polyhydramnios: With excess amniotic fluid, the sudden gush after rupture increases the chance the cord will be carried out before the presenting part can descend. E. Macrosomic fetus: A large fetus (macrosomia) usually fills the pelvis tightly, so there’s little room for the cord to prolapse. F. Premature rupture of membranes (PROM): If the presenting part isn’t well engaged when PROM occurs, the cord may prolapse.