If the umbilical cord is wrapped tightly around the neck during childbirth, you should do what immediately?

In the scenario where the umbilical cord is tightly wrapped around the neck during childbirth, the appropriate immediate action is to deliver the infant with the cord wrapped around its neck.

In cases of a tight nuchal cord (the cord wrapped around the neck), the priority is ensuring the safe delivery of the infant. It is common for the cord to be wrapped around the neck, and in many instances, it can be slipped over the head during delivery. If it is too tight to do so safely, it may need to be clamped and cut, but that should be done only after the infant is born unless the situation demands it.

This response is critical because it focuses on the potential necessity to provide immediate neonatal care once the infant is delivered, particularly if there’s any compromise to the infant’s breathing or circulation before the cord can be safely handled. The other options do not prioritize the immediate delivery of the infant or could introduce unnecessary risks during this critical moment.