Question

Client’s labor has progressed to the point where she is 6 cm dilated; however, the fetal head is not engaged. an amniotomy is performed. after this procedure, the nurse checks the fetal heart rate. what other nursing action should be performed at this time?

Answer 1

The nurse should inspect the perineum. After membrane rupture, the umbilical cord may have bulge into the vagina blocking the fetus from coming out. The perineum area should be checked to confirm that this has not happen. The checking should be done at regular interval until the baby comes out.