You have been dispatched to the side of a highway where a woman is reported to be delivering a baby. As you approach the vehicle, you see her lying down in the back seat. If the baby is crowning and the amniotic sac has not yet ruptured, you should:

a. leave it in place and wait for ALS
b. puncture the sac only after ordered to do so by medical control
c. puncture the sac, allow the fluid to drain, and leave the sac in place
d. puncture the sac away from the head and then push the sac away from the infant's face

Answer; d. puncture the sac away from the head and then push the sac away from the infant's face