Discuss NCLEX NCLEX-RN Exam Topic 3 Question 17

A laboring client presents with a prolapsed cord. The nurse should immediately place the client in what position?

AReverse Trendelenburg

BFowler's

CTrendelenburg

DSims'

Suggested Answer: C

(A) Reverse Trendelenburg position increases pressure on the perineum. This position will not relieve cord pressure. (B) Fowler's position increases perineal pressure. Cord pressure would not be relieved. (C) Trendelenburg position will decrease perineal pressure. Cord compression will be decreased and increase in fetal blood flow occurs. (D) Sims' position does not relieve pressure on cord or perineum.

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21 comments · newest first

Vilma 1 month ago

I feel nervous about this question. It’s so important!

Kanisha 1 month ago

C) Trendelenburg is definitely the right choice. It’s critical!

Lynelle 1 month ago

No, that wouldn’t help. We need to elevate the pelvis.

Caprice 2 months ago

I’m not sure. What about A) Reverse Trendelenburg?

Yoko 2 months ago

Agreed, Trendelenburg is best for that.

Samuel 2 months ago

I think it’s C) Trendelenburg. It helps with cord compression.

Cristy 2 months ago

Exactly! It's critical to stabilize the situation quickly.

Freida 2 months ago

I remember learning that Trendelenburg is the go-to for this.

Isreal 2 months ago

Fowler's isn't right. It doesn't relieve pressure.

Mary 3 months ago

I'm not sure. What about Fowler's?

Tresa 3 months ago

Yeah, I agree. It increases blood flow to the fetus.

Phillip 3 months ago

I think it's Trendelenburg. It helps with cord compression.

Justine 3 months ago

Yup, Trendelenburg is the go-to for cord prolapse!

Jannette 3 months ago

Wait, is it really Trendelenburg? Sounds too simple.

Evelynn 4 months ago

No way, it's Sims' for sure!

Ira 5 months ago

I thought it was Fowler's position?

Pamella 5 months ago

Definitely Trendelenburg! It helps relieve pressure.

Kara 6 months ago

I’m leaning towards Sims' position, but I’m not confident. I wish I had reviewed this topic more!

Terrilyn 6 months ago

I feel like Fowler's position is more for other situations, but I can't recall why exactly.

Jamal 6 months ago

I remember practicing a similar question, and I think Trendelenburg was the answer for cord prolapse.

Shaquana 6 months ago

I think the position should help relieve pressure on the cord, but I'm not entirely sure which one it is.

NCLEX-RN Exam - Topic 3 Question 17 Discussion