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What immediate action should be taken if the umbilical cord is wrapped around the baby's neck?

  1. Notify EMS and prepare for transport

  2. Relieve pressure and pull the cord off the neck

  3. Adjust the baby's position inside the womb

  4. Wait for the cord to loosen on its own

The correct answer is: Relieve pressure and pull the cord off the neck

The immediate and most appropriate action when the umbilical cord is wrapped around the baby's neck is to relieve pressure and gently pull the cord off the neck. This procedure is vital as it can prevent potential complications related to oxygen deprivation. By carefully loosening the cord, you help ensure that the baby receives adequate blood flow and oxygen, which are crucial for the baby's well-being and survival during the delivery process. Addressing the situation promptly can greatly mitigate stress for both the baby and the birthing individual. Other actions, such as waiting for the cord to loosen on its own or adjusting the baby's position inside the womb, could unnecessarily prolong the risk to the baby. Notifying EMS and preparing for transport may also be important but is typically not the first step in a situation that requires immediate intervention at the moment of delivery.