For an umbilical cord prolapse, you should first manually relieve cord compression and then which position should be used?

• A. Knees-to-chest position
• B. McRobert's Position
• C. Administered terbutaline
• D. Administered nifedipine

Answer: (A)

Relieving cord compression is the immediate priority in umbilical cord prolapse because the fetus is at risk of hypoxia whenever the cord is protruding and compressed. After you have manually elevates the presenting part off the cord to relieve that pressure, placing the patient in the knee-to-chest position uses gravity to further shift the uterus and presenting part away from the cord, helping restore and maintain better uteroplacental blood flow while you arrange for urgent delivery.

The other options don’t provide the same mechanical relief. McRobert's maneuver is used for shoulder dystocia and changes pelvic mechanics in that situation, not prolapse. Tocolytics like terbutaline or nifedipine may be used to suppress contractions to reduce further prolapse risk, but they don’t address the immediate cord relief achieved by the knee-to-chest position. In all cases, this is followed by rapid obstetric evaluation and delivery.