[Answered]: Care During Birth The client dilates quickly to…

Care During Birth The client dilates quickly to 10 cm and feels a strong urge to push. The fetal heart rate continues to be reassuring with a baseline of 145 and moderate variability present. The nurse briefly reviews pushing techniques with the client and her spouse and notifies the obstetrician of the client’s progress. The obstetrician is at the bedside and is prepared for delivery. After three cycles of open-glottis pushing, the baby’s head is crowning. The head is born easily over an intact perineum but rotates externally and retracts back against the perineum. The nurse and obstetrician recognize these signs as an indication of shoulder dystocia. Question 15 of 23 Which immediate action should the nurse take? Notify the operating room to prepare for a cesarean section. Apply external pressure to the uterine fundus. Administer 0.25 mg terbutaline subcutaneously. Reposition the client using McRobert’s maneuver.