The immediate priority is to minimize pressure on the cord. Thus the nurses initial action involves placing the client on bed rest and then placing the client in a knee-chest position or lowering the head of the bed and elevating the maternal hips on a pillow to minimize the pressure on the cord.Options A. C. and D: Monitoring maternal vital signs and FHR. notifying the physician and preparing the client for delivery. and wrapping the cord with sterile saline soaked warm gauze are important. But these actions have no effect on minimizing the pressure on the cord.