Paramedic National Registry Practice

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Prepare for the Paramedic National Registry Exam with comprehensive quizzes and study materials. Gain confidence with multiple choice questions, hints, and detailed explanations to excel in your exam.

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After delivery of the head, what is the appropriate action if you encounter a nuchal cord?

Gently remove the cord from the neck
Leave the cord in place and continue delivery
Clamp the cord immediately
Administer oxygen to the mother

The correct answer is: Gently remove the cord from the neck

Gently removing the cord from the neck of the newborn is the appropriate action if a nuchal cord is encountered after the delivery of the head. A nuchal cord occurs when the umbilical cord wraps around the neck of the fetus, which can happen during delivery. If the cord is loose enough, careful handling will typically allow it to be removed without causing distress to the infant. Leaving the cord in place and continuing the delivery could pose risks, as the cord can become tight during the process, potentially compromising the baby's blood supply and oxygenation. Immediate clamping of the cord is unnecessary and could interfere with the delivery process, as it is crucial to assess the cord’s condition and its impact on the infant before any such action is taken. Administering oxygen to the mother does not directly address the issue and is a secondary measure; while maternal oxygenation is important, it does not resolve the immediate problem of the nuchal cord. In summary, the most effective and safest action is to gently remove the cord from around the neck to facilitate a smoother delivery and minimize risk to the newborn.