The nurse is assisting with a precipitous birth. In which order should the nurse perform the following actions after the birth of the fetal head?

Question

1. Instruct the client to push.
2. Suction the baby's mouth, throat, and nose.
3. Exert upward traction to the fetal head to facilitate birth of the posterior shoulder.
4. Exert downward traction on the fetal head to facilitate movement of the anterior shoulder.

Answer 1

2, 4, 3, 1
Explanation:
1. The nurse then instructs the woman to push gently so that the rest of the body can be born quickly.
2. Immediately after birth of the head, the nurse suctions the baby's mouth, throat, and nasal passages.
3. The nurse then exerts gentle upward traction on the fetal head to aid in the birth of the posterior shoulder.
4. The nurse then places one hand on each side of the head and exerts gentle downward traction until the anterior shoulder passes under the symphysis pubis.