Which action is NOT part of the management of a prolapsed umbilical cord?

• A. Keep the woman supine with hips elevated.
• B. Administer 100% supplemental oxygen.
• C. Have the woman pant with each contraction.
• D. Apply a tourniquet to the exposed cord.

Answer: (D)

The priority when the cord prolapses is to relieve pressure on the cord and keep the fetus oxygenated until delivery. Positioning the mother to reduce cord compression is key—ideally in a knee–chest or Trendelenburg position, or at minimum with the hips elevated so the presenting part doesn’t compress the cord. If the cord is visible, gently elevating it off the presenting part and keeping it moist with sterile saline helps prevent further compression.

Giving 100% oxygen to the mother supports better oxygen delivery to the fetus. Encouraging controlled breathing or panting with contractions helps minimize pushing that could worsen cord compression.

A tourniquet on the exposed cord is not part of management; it would further compromise blood flow to the fetus and is not recommended. Quick delivery with appropriate medical support is the goal.