What should a nurse do if a prolapsed cord occurs during delivery?

In the event of a prolapsed umbilical cord during delivery, the most appropriate action is to call for help and assist the patient into a favorable position. This is crucial because a prolapsed cord can lead to compromised fetal blood flow and distress. By repositioning the patient, typically into a knee-chest or Trendelenburg position, the nurse can help relieve pressure on the cord, thereby improving fetal oxygenation and circulation until further medical interventions can be implemented.

Immediate delivery is not always feasible and may not be the safest first action, especially if the situation allows for temporary measures that can stabilize the situation. Applying pressure to the perineum is not recommended, as it could exacerbate the situation by compressing the cord further. Preparing for surgical intervention, such as an emergency cesarean section, is a possibility but typically follows stabilization efforts and does not take precedence over positioning the mother correctly in the moment of a prolapsed cord. Therefore, re-positioning the patient while waiting for help is the safest and most effective initial response.