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Cord prolapse — DRCOG MCQ

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EasyLabourCord prolapseDRCOG

A 37-year-old woman has ruptured membranes and a fetal heart rate of 70/min with cord felt in the vagina. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BElevate the presenting part and call obstetric emergency help

Elevate the presenting part and call obstetric emergency help is the best answer because the vignette is testing Cord prolapse and the recommended approach is consistent with RCOG Green-top Guideline 50. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Arrange routine review in six weeks; Arrange routine antenatal clinic review; Request outpatient ultrasound in three months; Discuss elective induction next week would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: RCOG Green-top Guideline 50