The patient at 39 weeks' gestation is undergoing a cesarean birth due to breech presentation. General anesthesia is being used. Which situation requires immediate intervention?
1. The baby's hands and feet are blue at 1 minute after birth.
2. The fetal heart rate is 70 prior to making the skin incision.
3. Clear fluid is obtained from the baby's oropharynx.
4. The neonate cries prior to delivery of the body.
2
Rationale 1: Acrocyanosis is an expected finding at 1 minute of age.
Rationale 2: Fetal bradycardia is often caused by supine hypotension syndrome. The patient should be tilted to the left side to restore adequate vena cava circulation and oxygenation of the fetus.
Rationale 3: This is an expected finding.
Rationale 4: General anesthesia can cause neonatal respiratory depression. Crying after delivery of just the head indicates that no neonatal depression has occurred.
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