A client in the midst of labor and delivery of twins is being considered for a podalic version. What should the nurse assess in order for this version to be considered? Select all that apply
1. Previous cesarean birth
2. Second fetus does not descend
3. Premature rupture of membranes
4. Presence of third-trimester bleeding
5. Second fetus heart rate nonreassuring
2, 5
Explanation:
1. A previous cesarean birth is a contraindication for a version.
2. A podalic version is used only with the second fetus during a vaginal twin birth and only if the twin does not descend readily.
3. Premature rupture of membranes is a contraindication for a version.
4. Presence of third-trimester bleeding is a contraindication for a version.
5. A podalic version is used only with the second fetus during a vaginal twin birth and only if the heart rate is nonreassuring.
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