North Carolina EMT State Practice Exam

What is the recommended method for managing delivery complications with a nuchal cord?

1. Clamp and cut the cord

2. Leave the cord in place

3. Wait for contraction to push out

4. Quickly perform a C-section

The correct answer is: Clamp and cut the cord

The recommended method for managing delivery complications with a nuchal cord is to clamp and cut the cord if it is tightly wrapped around the baby's neck. This action is appropriate when the nuchal cord (the umbilical cord wrapped around the neck of the fetus) poses a risk of cord compression or interference with the delivery process. By clamping and cutting the cord, the healthcare provider can facilitate a smoother delivery and reduce potential injury to the baby, as it allows for the immediate release of the fetus without the cord interfering with its ability to breathe or move. In scenarios where the nuchal cord is loosely wrapped, it may be managed differently, but in cases where tension is present, cutting the cord is a practical and effective resolution. It is important to ensure the baby can breathe as soon as possible, thus prioritizing the management of the nuchal cord through this method. Leaving the cord in place can be risky if it is tightly wrapped, as it may restrict blood flow or cause distress. Waiting for a contraction to push the baby out without addressing the cord could lead to complications if the cord is a significant hindrance. Performing a C-section would generally be reserved for more severe problems, as it is a more invasive procedure that is