What is an occult cord prolapse?
The cord is in front of the fetal head, but not visible or palpable
The cord is hidden, often next to but not in front of the fetal head.
The cord is visible or palpable outside of the vagina
The cord is wrapped around the fetal neck or body
The Correct Answer is B
The correct answer is choice B. The cord is hidden, often next to but not in front of the fetal head. This is called an occult cord prolapse and it occurs when the umbilical cord descends alongside–but not past–the presenting part of the baby. Occult cords can occur with ruptured or intact membranes. They can cause hypoxia, brain injury, and permanent disability in a baby, so medical personnel must address them rapidly and appropriately.
Choice A is wrong because it describes an overt cord prolapse, which means that the cord slips down into your cervix and vagina ahead of your baby during delivery. This is a medical emergency that can cut off your baby’s blood and oxygen supply during delivery.
Choice C is wrong because it describes a visible cord prolapse, which is a type of overt cord prolapse where the cord is visible or palpable outside of the vagina. This is also a medical emergency that requires immediate delivery.
Choice D is wrong because it describes a nuchal cord, which means that the cord is wrapped around the fetal neck or body. This is not a prolapse, but it can cause complications such as reduced blood flow, fetal distress, or umbilical cord strangulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choiceA.
The nurse should instruct the client to avoid lifting anything heavier than the newborn for 6 weeks.This is because lifting heavy objects can strain the abdominal muscles and the incision site, and increase the risk of bleeding and infection.
ChoiceBis wrong because the nurse should advise the client to wait at least 4 to 6 weeks before resuming sexual intercourse.This is to allow the incision to heal and prevent infection and discomfort.
ChoiceCis wrong because the nurse should not recommend ibuprofen for pain relief as it can interfere with blood clotting and increase bleeding.The nurse should suggest acetaminophen or a prescribed analgesic instead.
ChoiceDis wrong because the nurse should not tell the client to report any foul-smelling vaginal discharge to the provider.
The client should expect some vaginal discharge (lochia) for several weeks after a cesarean delivery, which may have a mild odor.However, the nurse should instruct the client to report signs of infection such as fever, chills, redness, swelling, or increased pain at the incision site.
Correct Answer is ["B","C","D","E"]
Explanation
The correct answer is choice B, C, D and E.These are all fetal presentations that increase a patient’s risk for umbilical cord prolapse.Umbilical cord prolapse is when the umbilical cord comes out of the uterus with or before the presenting part of the baby.This can cause fetal hypoxia and brain damage due to cord compression.
Choice A is wrong because vertex presentation is the most common and normal fetal position, where the head is down and fully flexed.
This does not increase the risk of cord prolapse.
Normal ranges for fetal presentation are:
• Vertex: 95% of term deliveries.
• Breech: 3% to 4% of term deliveries.
• Transverse lie: 0.5% of term deliveries.
• Face: 0.2% of term deliveries.
• Brow: 0.1% of term deliveries.
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