A laboring patient's obstetrician has suggested amniotomy as a method for inducing labor. Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse
2. Estimation of fetal birth weight
3. Fetal presentation, position, and station
4. Biparietal diameter
3
Rationale 1: Maternal vital signs do not affect the decision to perform an amniotomy.
Rationale 2: Fetal birth weight does not affect the decision to perform an amniotomy.
Rationale 3: The most important assessment is for fetal presentation, position, and station. Fetal presentation and position must be known to determine whether vaginal delivery is possible. Station is important because if the fetal head is not engaged, a prolapsed cord is a risk.
Rationale 4: Biparietal diameter does not affect the decision to perform an amniotomy.
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