What should you do if the umbilical cord is wrapped tightly around a baby's neck during delivery?

Prepare for the JBL Obstetrics and Pediatrics Test with flashcards and multiple choice questions, all complete with hints and explanations to help you succeed. Get ready to ace your exam!

When the umbilical cord is wrapped tightly around a baby's neck during delivery, the most appropriate action is to clamp and cut the umbilical cord. This is because a tight nuchal cord can compromise the baby's oxygen supply and might lead to fetal distress. By cutting the cord, you can quickly relieve any pressure or constriction that might be affecting the baby's ability to breathe effectively upon delivery.

This procedure is often carried out only if other methods, such as gently trying to slip the cord over the baby's head, are not effective. The focus is on ensuring the baby's safety and well-being, allowing for a smoother transition to breathing air. It's important to be prepared to provide immediate resuscitation if necessary once the baby is delivered.

While other options may seem plausible, they do not adequately address the immediate risk posed by a tightly wrapped cord. For example, simply positioning the mother on her left side may improve fetal blood flow but won't resolve the issue of the cord compression directly. Pulling on the cord could risk injury to both the mother and baby, and placing an oxygen mask on the baby is not practical or effective until the baby is actually delivered and breathing independently. Thus, cutting the cord is the most direct and effective intervention.

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