Childbearing Family Exam #2-Study Guide.

★ Cord prolapse: ○ when the umbilical cord is displaced, preceding the presenting part of the fetus, or protruding through the cervix. ○ This results in cord compression and compromised fetal circulation. ○ Expected findings ■ Client may report that she feels “something coming through her vagina � ”� ■ Visualization or palpation of the umbilical cord protruding from the introitus ■ FHR monitoring shows variable or prolonged decels ■ Excessive fetal movement followed by cessation; suggestive of severe fetal hypoxia. ○ Risk Factors ■ Rupture of amniotic membranes ■ Abnormal fetal presentation ■ Transverse lie: presenting part not engaged, leaving room for the cord to descend ■ Small for gestational age fetus ■ Unusually long cord ■ Multifetal pregnancy ■ Hydrinos or polyhydramnios