Sample interview questions: Can you describe your experience in managing cases of umbilical cord prolapse during childbirth?
Sample answer:
- Experience in Managing Cases of Umbilical Cord Prolapse:
As a Certified Nurse Midwife (CNM), I possess extensive experience in managing cases of umbilical cord prolapse during childbirth. This rare but life-threatening emergency requires immediate intervention to prevent fetal compromise.
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Assessment and Diagnosis:
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Upon suspecting cord prolapse, I promptly assess the situation by performing a sterile vaginal examination.
- I palpate the presenting part to confirm the presence of a loop of cord protruding alongside or ahead of the fetus.
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I check for fetal heart rate abnormalities, as cord prolapse can lead to variable decelerations.
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Emergency Management:
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Manual Replacement: Priority intervention involves manually attempting to replace the prolapsed cord back into the uterine cavity. Guided by sterile gloves, I gently insert two fingers into the vagina and reposition the cord above the presenting part.
- Elevation: If manual replacement fails, I elevate the mother’s buttocks on pillows to improve uterine blood flow and reduce pressure on the cord.
- Delivery Expedition: I collaborate with the physician team to determine the most appropriate met… Read full answer
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