What is the immediate action if an infant has a nuchal cord?

When dealing with a nuchal cord, which is when the umbilical cord is wrapped around the infant's neck, the immediate and best action is to slip the cord over the infant's shoulder. This maneuver allows for the quick release of any potential pressure on the neck and ensures that the infant can breathe properly at birth. It prioritizes the safety and health of the infant as soon as they are delivered.

This action is typically performed gently and expediently. If the cord is tightly wrapped or cannot be easily slipped off, further interventions, following appropriate protocols, may be necessary. However, the direct approach of slipping the cord over the infant's shoulder is the most immediate and practical first step to alleviate any complications arising from the nuchal cord.