Prepare for the Paramedic Readiness Exam 4 with our engaging quiz. Hone your skills with targeted questions, hints, and in-depth explanations. Excel on your exam with confidence!

Multiple Choice

During a field delivery you notice the umbilical cord is wrapped around the infant’s neck. You should?

A loop around the neck (nuchal cord) is best managed by relieving the constriction without pulling on the cord. Gently slipping the cord over the infant’s head is the quickest way to remove the loop and restore full airway access and blood flow without cutting the cord prematurely. Clamping and cutting immediately would sever the placenta’s ongoing blood supply to the baby and isn’t the first step. Pushing the cord toward the placenta would tighten the loop and could worsen compression. A tourniquet isn’t indicated for this situation. If slipping it over the head isn’t possible, follow the established delivery protocol for alternate relief, but the preferred move is to carefully loosen and slide the cord over the head.

A loop around the neck (nuchal cord) is best managed by relieving the constriction without pulling on the cord. Gently slipping the cord over the infant’s head is the quickest way to remove the loop and restore full airway access and blood flow without cutting the cord prematurely. Clamping and cutting immediately would sever the placenta’s ongoing blood supply to the baby and isn’t the first step. Pushing the cord toward the placenta would tighten the loop and could worsen compression. A tourniquet isn’t indicated for this situation. If slipping it over the head isn’t possible, follow the established delivery protocol for alternate relief, but the preferred move is to carefully loosen and slide the cord over the head.