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What should be done to the umbilical cord after reclamping?

  1. Cut it completely

  2. Reclamp distal

  3. Reclamp proximal

  4. Leave it attached

The correct answer is: Reclamp proximal

After reclamping the umbilical cord, the appropriate action is to reclamp it proximal to the initial clamp. This practice ensures that blood flow is properly regulated and minimizes the risk of hemorrhage from the site of clamping. By placing the clamp proximal, you are securing the section of umbilical cord that connects to the placenta, thereby preventing any potential blood loss from the infant to the placenta after the cord has been cut. In emergency situations, especially regarding newborns, maintaining a safe blood volume is critical for healthy transition to extrauterine life. The other options either suggest severing the umbilical cord entirely, which would not be ideal immediately after reclamping, or leaving it attached, which does not address the necessary steps for cord management following delivery. Thus, reclamping proximal aids in ensuring the safety and well-being of the newborn during this crucial time.