Prolapsed umbilical cord management includes which action?

• A. Push Cord Back Into The Uterus
• B. Place Two Fingers In The Birth Canal Keeping The Baby'S Head From Occluding The Cord
• C. Administer Oxytocin
• D. Elevate Presenting Part

Answer: (B)

A prolapsed umbilical cord risks the cord being squeezed by the presenting part, cutting off oxygen to the baby. The fastest, most effective action is to insert two gloved fingers into the birth canal and gently lift the presenting part away from the cord to relieve that compression. This direct manual relief buys time for transport and helps prevent fetal hypoxia. Keep the cord moist if exposed and position the mother to further lessen pressure on the cord while awaiting medical care. Pushing the cord back into the uterus is dangerous and not advised, and giving oxytocin would worsen contractions and the compression. Elevating the presenting part is related to relieving pressure, but the precise technique of placing two fingers to lift the part off the cord is the standard immediate maneuver.