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What factor found in the maternal history should alert the nurse to the potential for a prolapsed umbilical cord?
A history of polyhydramnios, breech presentation, advanced cervical dilation, or high fetal station before the rupture of membranes may raise suspicion for a prolapsed umbilical cord.
Which nursing action must be initiated first when there is evidence of prolapsed cord?
If prolapse cord is identified, notify the physician and prepare for emergency cesarean birth. If the client is fully dilated, the most emergent delivery route may be vaginal.