Four minutes after the birth of a baby, there is a sudden gush of blood from the mother's vagina, and about 8 inches of umbilical cord slides out. What action should the nurse take first?
A) Place the client in McRoberts position.
B) Watch for the emergence of the placenta.
C) Prepare for the delivery of an undiagnosed twin.
D) Place the client in a supine position.

Question

Quizplus · Accepted Answer

The sudden gush of blood and lengthening of the umbilical cord suggest placental separation, so the nurse should watch for the emergence of the placenta.

Four Minutes After the Birth of a Baby, There Is