During delivery, you note bulging of the perineal area when the mother bears down to expel the fetus from the birth canal. You should:
A) tear the perineum with a gloved finger to prevent further trauma.
B) apply gentle pressure to the head of the fetus to prevent explosive delivery.
C) use water-based lubricant to facilitate delivery.
D) attempt to spread the labial folds further to assist delivery.
Answer: B
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After being assaulted by her boyfriend, an 18-year-old female who is 33 weeks pregnant is found unresponsive in her bedroom. She appears to have been beaten in the head and abdomen as evidenced by multiple hematomas and lacerations to these areas. Which assessment finding should concern the EMT most and be addressed first?
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