Question 103 · LEK · Abnormal course of labor

An umbilical cord prolapse during the second stage of the labor in a cephalic presentation with a longitudinal lie:

  1. A. is not dangerous.
  2. B. is an indication for the attempt of a manual reduction of the prolapse.
  3. C. is an indication for immediate delivery.
  4. D. is an indication for a manual rotation of the fetus.
  5. E. is an indication for the immediate artificial rupture of membranes.
Hint

Consider what happens to umbilical blood flow when the descending fetal head presses on a prolapsed cord.

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