A nurse is caring for a client in active labor when the fetal heart monitor indicates a sudden deceleration. Upon assessment, the nurse notes that the umbilical cord is protruding from the vaginal opening. The nurse immediately calls for assistance and uses a sterile gloved hand to lift the presenting part off of the cord. The nurse positions the client in a knee to chest position to relieve pressure on the cord. Fetal heart tones are monitored continuously. The provider is notified while preparations for an emergency cesarean birth are initiated. The nurse documents the time of cord prolapse, interventions, and the client response. Highlight the portions of the text that indicate priority nursing actions in response to a prolapsed umbilical cord. A nurse is caring for a client in active labor when the fetal heart monitor indicates a sudden deceleration. Upon assessment, the nurse notes that the umbilical cord is protruding from the vaginal opening. The nurse immediately calls for assistance and uses a sterile gloved hand to lift the presenting part off of the cord. The nurse positions the client in a knee to chest position to relieve pressure on the cord. Fetal heart tones are monitored continuously. The provider is notified while preparations for an emergency cesarean birth are initiated. The nurse documents the time of cord prolapse, interventions, and the client response.