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    RN Comprehensive Predictor 2026 Proctored Exam V2

    Select the 5 actions the nurse should take.

    Explanation & Rationale

    A visible loop of umbilical cord at the vaginal introitus is a prolapsed cord — an obstetric emergency. The nurse must: (A) manually elevate the presenting part off the cord to relieve compression; (B) administer high-flow oxygen to improve fetal oxygenation; (C) notify the provider immediately; (D) increase IV fluids to improve placental perfusion; (F) place the client in Trendelenburg or knee-chest position to reduce cord compression by gravity. The nurse should never push the cord back — this can cause vasospasm and further compromise blood flow.

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