A nurse is caring for a client who is in the first stage of labor.
The nurse observes the umbilical cord protruding from the vagina.
Which of the following actions should the nurse NOT perform?

Choice A rationale

Taking pressure off of the presenting part of the fetal head can help improve blood flow and oxygen supply to the fetus, potentially preventing hypoxia.

Choice B rationale

Preparing the client for an immediate cesarean birth is a necessary step in cases of umbilical cord prolapse to quickly deliver the baby and reduce the risk of fetal distress.

Choice C rationale

Placing the client in a knee-chest position helps to alleviate pressure on the umbilical cord, increasing blood flow and oxygen supply to the fetus.

Choice D rationale

Attempting to gently put the cord back inside is not recommended as it can cause more harm and increase the risk of cord compression and infection.

Choice A rationale

Increased fetal movement is normal and usually not a sign to head to the hospital unless there are other concerns.

Choice B rationale

Ruptured membranes can signify the beginning of labor or risk for infection, warranting a visit to the hospital for assessment.

Choice C rationale

Contractions that are 10 minutes apart typically indicate early labor, but not necessarily the need to go to the hospital immediately.

Choice D rationale

Mild abdominal or groin discomfort can occur during pregnancy and does not immediately warrant a hospital visit without other signs of labor.