Advanced Life Support in Obstetrics (ALSO) Practice Test

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What is the recommended position of the infant during delayed cord clamping?

Above the level of the placenta

At the level of the placenta

Below the level of the placenta

The recommended position of the infant during delayed cord clamping is below the level of the placenta. This positioning facilitates the transfer of blood from the placenta to the newborn, which can help improve the infant's blood volume and reduce the risk of conditions such as iron deficiency anemia later in life. By placing the newborn below the placenta, gravity aids in the movement of blood through the umbilical cord, maximizing the benefits of delayed cord clamping.

Other positions, like placing the infant at or above the level of the placenta, may hinder this transfer mechanism, potentially leading to decreased blood volume in the newborn. The sitting position is also not appropriate for this process, as it does not allow for optimal blood flow dynamics during the critical transition period immediately after birth. Therefore, positioning the infant below the level of the placenta is the best approach to ensure effective and beneficial delayed cord clamping.

In a sitting position

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